Individual
MRS. SUSAN H. MYZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4686 POUNCEY TRACT ROAD, GLEN ALLEN, VA 23059
(804) 422-5437
Mailing address
89 FOREST LN, KING WILLIAM, VA 23086-3527
(480) 221-7626
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024172825
VA
Other
Enumeration date
10/02/2006
Last updated
07/21/2016
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