# SUZANNE MARIE OBENRADER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518941103
- **Gender:** F
- **Credential:** CRNP RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN18636FL | PA | — |
| 363L00000X | Nurse Practitioner | UP000800H | PA | Yes |

## Other

- **Enumeration date:** 12/06/2005
- **Last updated:** 11/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 30019410 | KMHP | PA |
| 01 | — | 574399 | COVENTRY HEALTH AMERICA | PA |