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Individual
MRS. SUSAN MARIE PHELPS
Active
Individual
MRS. SUSAN MARIE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024171213
VA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
R147912
MD
Other
Enumeration date
02/12/2013
Last updated
12/01/2022
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