Provider Demographics
NPI:1780774588
Name:HUNTER, SUSAN M (RN, MSN)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:HUNTER
Suffix:
Gender:F
Credentials:RN, MSN
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:900 CENTENNIAL BLVD
Mailing Address - Street 2:SUITE M
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4637
Mailing Address - Country:US
Mailing Address - Phone:856-325-6750
Mailing Address - Fax:856-325-6777
Practice Address - Street 1:900 CENTENNIAL BLVD
Practice Address - Street 2:SUITE M
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4689
Practice Address - Country:US
Practice Address - Phone:856-325-6750
Practice Address - Fax:856-325-6777
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2010-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJNR103111364SM0705X, 163WX0200X
NJNJ000379364SM0705X
PASPOO7639364SM0705X
PARN500239L364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0128872Medicaid
NJ111926 PXAMedicare PIN