MRS. SUSAN DALE MARKOVICH (NPI# 1396852737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396852737 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN DALE MARKOVICH |
| Credential | R.N., M.S.N. |
| Practice Address |
1601 W. St . Mary's Rd. Tucson AZ 85745-2623 |
| Mailing Address |
7606 N Camino Sin Vacas Tucson AZ 85718-1298 |
| Practice Telephone | 5208726805 |
| Practice Fax Number | 5208725495 |
| Mailing Telephone | 5202196494 |
| Mailing Fax Number | 5202196336 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN103875 | AZ | Nursing Service Providers |
| Street Address |
1601 W. ST . MARY'S RD. |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588177075 | Kathleen Hornick | Registered Nurse | 3309 W Athenee Ct, Tucson, AZ 85746-1076 | 2017-11-07 |
| 1487076311 | Vicki Hervert | Registered Nurse | 5351 N Blue Bonnet Rd, Tucson, AZ 85745-9494 | 2014-01-12 |
| 1386669885 | Darren J Hammergren | Registered Nurse | 5700 E. Pima St., #1, Tucson, AZ 85712 | 2006-07-13 |
| 1457963852 | Alexandria Penner | Registered Nurse | 1305 N Martin Ave, Tucson, AZ 85721-0001 | 2020-08-18 |
| 1245798909 | Amanda Elizabeth Martinez | Registered Nurse | 6950 E Golf Links Rd, Tucson, AZ 85730-1017 | 2019-03-12 |
| 1568905073 | Stuart Haiken | Registered Nurse | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2016-12-01 |
| 1851587109 | Katherine Gould | Registered Nurse | 1671 W Grant Rd, Tucson, AZ 85745-1433 | 2007-09-20 |
| 1861583502 | Kathryn Olsen | Registered Nurse | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-09-27 |
| 1043242332 | Melisande Horowitz | Registered Nurse | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2006-07-07 |
| 1376572453 | Cheryl Murdock | Registered Nurse | 4901 E 5th St, Tucson, AZ 85711-2203 | 2006-07-01 |
| Find all providers in TUCSON | ||||
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| 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.