Individual provider · Type 1 NPI
Susan A. Southard, CRNP
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1811063183
Active
Practice location
3701 Market St, 6th Floor Suite 640
Philadelphia, PA 19104-5502
Mailing address
3624 Market St, Suite 560W
Philadelphia, PA 19104-2614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | VP002019C (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1811063183
Susan A. Southard, CRNP's National Provider Identifier is 1811063183, issued on Nov 28, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 26, 2007.