Provider Demographics
NPI:1932410073
Name:GUSCHEL, SUSAN HOPE (MS, RN, ANP, CWOCN)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:HOPE
Last Name:GUSCHEL
Suffix:
Gender:F
Credentials:MS, RN, ANP, CWOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 E JUNE ST
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-1330
Mailing Address - Country:US
Mailing Address - Phone:631-592-1887
Mailing Address - Fax:
Practice Address - Street 1:67 E JUNE ST
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-1330
Practice Address - Country:US
Practice Address - Phone:631-592-1887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF303421-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health