# SUSAN P GORSCHBOTH

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

## Provider details

- **NPI number:** 1639722036
- **Gender:** F
- **Credential:** DNP AGPCNP-BC/C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | R122278 | MD | — |
| 363L00000X | Nurse Practitioner | LP-0000319 | DE | — |
| 363LA2200X | Adult Health Nurse Practitioner | LP-0000319 | DE | — |
| 363LP2300X | Primary Care Nurse Practitioner | R122278 | MD | Yes |

## Other

- **Enumeration date:** 07/24/2019
- **Last updated:** 01/22/2021