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

Susan Peterson

Individual provider Primary Care Nurse Practitioner · NPI 1134888118

Susan Peterson is a Primary Care Nurse Practitioner in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
Specialties on file
2

Practice location Address checks out

18000 W 9 Mile Rd Ste 525
Southfield, MI 48075-4080
Phone: (248) 327-6196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704310011 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704310011 (MI)

Record details

NPI number1134888118
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 16, 2021
Last updated in NPPESApril 30, 2024
Certification dateMarch 28, 2023

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