Individual provider · Type 1 NPI

Susan Adele Ketcham, MSN RN AGCNS-BC CPAN

Adult Health Clinical Nurse Specialist · Charlottesville, VA

NPI number 1689345365 Active

Practice location

1215 Lee St
Charlottesville, VA 22908-0816

Mailing address

152 Timber Ridge Ln
Zion Crossroads, VA 22942-6981

Specialties and licenses

TaxonomyCodeLicense
Adult Health Clinical Nurse Specialist Primary 364SA2200X0024182547 (VA)

Adult Health Clinical Nurse Specialist: Definition to come...

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About NPI 1689345365

Susan Adele Ketcham, MSN RN AGCNS-BC CPAN's National Provider Identifier is 1689345365, issued on Sep 23, 2021. The primary taxonomy on file is Adult Health Clinical Nurse Specialist (364SA2200X), and the practice location is in Charlottesville, VA. The record was last updated on Sep 23, 2021.