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SUSAN MARY KILLAM RN,MSN,NP
NPI 1629191648
Nurse Practitioner in Charlevoix, MI

Active since April 06, 2007
NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY, 220 W. GARFIELD STREET, CHARLEVOIX, MI 49720(231) 547-6523(231) 547-6238 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Mary Killam Rn,msn,np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN MARY KILLAM RN,MSN,NP (NPI 1629191648) is an individual nurse practitioner in Charlevoix, Michigan, licensed in Michigan (4704087772) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1629191648
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN MARY KILLAMCredential: RN,MSN,NP
Location AddressNORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY, 220 W. GARFIELD STREETCharlevoix, MI 49720
Mailing Address107 Wood StCharlevoix, MI 49720-1626 · (231) 547-5871
Phone(231) 547-6523
Fax(231) 547-6238
Sole ProprietorNo
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629191648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704087772
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY, Charlevoix, MI 49720
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Other Identifiers 1

OtherSK087772MI · Bcbsm

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMARA LYNN HICKMAN CPNP
Nurse Practitioner (Pediatrics)
NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY, 220 W. GARFIELD STREET
CHARLEVOIX, MI 49720
Charlevoix County (231) 547-6523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Killam's NPI number?

The NPI number for Susan Killam is 1629191648. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Susan Killam located?

Susan Killam practices at Northwest Michigan Community Health Agency 220 W. Garfield Street, Charlevoix, MI 49720. The listed phone number is (231) 547-6523.

What is Susan Killam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Susan Killam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.