Individual
SUSAN TERWILLIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, BS, PNP-BC, RN
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-3070
(570) 887-3382
Mailing address
1 GUTHRIE SQ, GUTHRIE CLINIC - PEDIATRICS, SAYRE, PA 18840-1625
(607) 565-4652
(607) 777-4440
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
F380333-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
TP002073D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03081490
—
NY
Enumeration date
11/19/2008
Last updated
08/29/2012
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