Provider Demographics
NPI:1851464614
Name:CHROSTOWSKI, SUSAN KELLY (RN, MS, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:KELLY
Last Name:CHROSTOWSKI
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Gender:F
Credentials:RN, MS, NP-C
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Mailing Address - Street 1:8144 WALNUT HILL LN
Mailing Address - Street 2:SUITE 800
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4388
Mailing Address - Country:US
Mailing Address - Phone:214-540-0700
Mailing Address - Fax:214-540-0701
Practice Address - Street 1:8144 WALNUT HILL LN
Practice Address - Street 2:SUITE 800
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4388
Practice Address - Country:US
Practice Address - Phone:214-540-0700
Practice Address - Fax:214-540-0701
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2011-11-29
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Provider Licenses
StateLicense IDTaxonomies
TX550870363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health