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Individual
MS. SUSAN BARB
Active
Individual
MS. SUSAN BARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011731
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103010166-0001
—
PA
Enumeration date
11/10/2011
Last updated
10/02/2015
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