Provider Demographics
NPI:1184164568
Name:MCRITCHIE, SUSAN E (RN)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:E
Last Name:MCRITCHIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 KERR ROAD
Mailing Address - Street 2:OAK GROVE ELEMENTARY SCHOOL
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603
Mailing Address - Country:US
Mailing Address - Phone:845-298-5280
Mailing Address - Fax:845-298-5272
Practice Address - Street 1:40 KERR ROAD
Practice Address - Street 2:OAK GROVE ELEMENTARY SCHOOL
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5826
Practice Address - Country:US
Practice Address - Phone:845-298-5280
Practice Address - Fax:845-298-5272
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY499765-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool