Provider Demographics
NPI:1922803535
Name:SLOAN, SUSAN B (RN)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:B
Last Name:SLOAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 4TH ST
Mailing Address - Street 2:
Mailing Address - City:FRIEND
Mailing Address - State:NE
Mailing Address - Zip Code:68359-1413
Mailing Address - Country:US
Mailing Address - Phone:402-947-1248
Mailing Address - Fax:
Practice Address - Street 1:803 4TH ST
Practice Address - Street 2:
Practice Address - City:FRIEND
Practice Address - State:NE
Practice Address - Zip Code:68359-1413
Practice Address - Country:US
Practice Address - Phone:402-947-1248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE32115163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics