Provider Demographics
NPI:1841260916
Name:DOWNEY LUHRMANN, SUSAN F (ANP)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:F
Last Name:DOWNEY LUHRMANN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4109
Mailing Address - Country:US
Mailing Address - Phone:413-447-2752
Mailing Address - Fax:413-496-6836
Practice Address - Street 1:631B NORTH STREET
Practice Address - Street 2:HILLCREST FAMILY HEALTH CENTER
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4147
Practice Address - Country:US
Practice Address - Phone:413-499-2051
Practice Address - Fax:413-445-9174
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA206786363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2071711Medicaid
MANP3552OtherBCBSMA
MA2071711Medicaid
NP3552Medicare ID - Type Unspecified