Provider Demographics
NPI:1831191576
Name:SZUREK, SUSAN (FNP)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:
Last Name:SZUREK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 INDIANWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48301-1459
Mailing Address - Country:US
Mailing Address - Phone:248-626-3834
Mailing Address - Fax:
Practice Address - Street 1:33475 PALMER RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-4614
Practice Address - Country:US
Practice Address - Phone:734-728-2423
Practice Address - Fax:734-728-2183
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704104724363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI774634192Medicaid
MI500H201890OtherBLUE CROSS BLUE SHIELD
MI500H201890OtherBLUE CROSS BLUE SHIELD
MIN88700002Medicare ID - Type Unspecified