Individual provider · Type 1 NPI

Susan Lyn Kruse-Sullivan, CRNP

Nurse Practitioner · Philadelphia, PA

NPI number 1538566872 Active

Practice location

230 W Washington Sq
Philadelphia, PA 19106-3585

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN309947L (PA)
Nurse Practitioner Primary 363L00000XSP014639 (PA)

Nurse Practitioner: (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 wit…

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About NPI 1538566872

Susan Lyn Kruse-Sullivan, CRNP's National Provider Identifier is 1538566872, issued on Dec 2, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 11, 2015.