IndividualActive
Susie John, MD MPH
NPI 1194714956 · Pediatric Adolescent Medicine Physician · Shiprock, NM
Provider details
- NPI number
- 1194714956
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD MPH
- Sex
- Female
- Sole proprietor
- No
- License
- 85216 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
US Hwy 491 North
Shiprock, NM 87420
Phone: (505) 368-6401
Fax: (505) 368-6431
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 160
Shiprock, NM 87420-0160
Registry dates
- Enumerated
- 2005-10-14
- Last updated
- 2007-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.