SUSAN DIANE EARLS

Address: 465 Saint Michaels Dr, Santa Fe, NM 87505-7670
Phone: 5059883233

SUSAN DIANE EARLS (NPI# 1477613891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477613891
Entity Type 1 - Individual
Full Name SUSAN DIANE EARLS
Other Name SUSAN D TWILLEY
Credential PA-C
Practice Address 465 Saint Michaels Dr
Santa Fe
NM 87505-7670
Practice Telephone 5059883233
Enumeration Date 12/08/2006
Last Update Date 12/01/2011
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant PA10005131 WA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA2005-0049 NM Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 465 SAINT MICHAELS DR
City SANTA FE
State NM
Zip Code 87505-7670

Providers with the same location

NPI Name Address
1568461374 DR. MARSHALL TREDWAY WATSON JR. 465 Saint Michaels Dr, Suite 107, Santa Fe, NM 87505-7670
1811980279 MR. MILTON ALLEN MATTESON 465 Saint Michaels Dr, Suite 110, Santa Fe, NM 87505-7670
1881682912 PATRICK SAMORA 465 Saint Michaels Dr, Suite 101, Santa Fe, NM 87505-7670
1871581884 PAULA LEWIS DEVITT 465 Saint Michaels Dr, Suite 115, Santa Fe, NM 87505-7670
1003897182 DR. BERNARD RAY GAVRON 465 Saint Michaels Dr, Ste 208, Santa Fe, NM 87505-7670
1578546628 MS. DEBORAH RUDENE CASWELL 465 Saint Michaels Dr, Suite 110, Santa Fe, NM 87505-7670
1376521500 EDISON VIRGIL ETSITTY 465 Saint Michaels Dr, Suite 202, Santa Fe, NM 87505-7670
1457329054 MICHAEL SCOTT WOODS 465 Saint Michaels Dr, Suite 110, Santa Fe, NM 87505-7670
1366410961 JOHN DIRK WASSNER 465 Saint Michaels Dr, Suite 110, Santa Fe, NM 87505-7670
1275599862 SHEILA A CEPEDA 465 Saint Michaels Dr, Santa Fe, NM 87505-7670

Competitor

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City SANTA FE
Zip Code 87505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.