SearchIdaho363L00000X

Susan Sansom, CNP

NPI 1538611397 · on the registry since 2016 · sole proprietor

Practice

Address
360 E Montvue Dr Ste 100
Meridian, ID 83642
Phone
(208) 855-2900
Fax
(208) 855-2911
Organisation at this address
Spine Institute Of Idaho P A
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho