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

Susan Heather Lake, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1790255941

Susan Heather Lake, AGNP is an Adult Health Nurse Practitioner in Trenton, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2018
Specialties on file
2
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

1618 Riverside Dr
Trenton, NJ 08618
Phone: (609) 372-7754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 26NJ00877500 (NJ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 26NJ00877500 (NJ)

Record details

NPI number1790255941
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorYes
NPI enumeratedNovember 30, 2018
Last updated in NPPESNovember 30, 2018

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