Individual
SUSAN C HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-0817
(434) 243-5233
(434) 244-7526
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
0024175057
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024175057
VA
Other
Enumeration date
12/05/2017
Last updated
11/15/2024
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