Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisue Susman, NP

Individual provider Pediatric Nurse Practitioner · NPI 1205124377

Marisue Susman, NP is a Pediatric Nurse Practitioner in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1620 S Celebration Ave
Meridian, ID 83642-2779
Phone: (208) 884-1030
Fax: (208) 884-3058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence NP-1488A (ID)

Record details

NPI number1205124377
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 11, 2011
Last updated in NPPESOctober 27, 2015
Mailing address190 E Bannock St, Boise, ID 83712-6241

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