Individual
MRS. SUSAN G MAGENHEIMER
Active
Individual
MRS. SUSAN G MAGENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0024165070
VA
367A00000X
Advanced Practice Midwife
RN1022120
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154614048
—
VA
05
—
30016809680001
—
VA
Enumeration date
05/25/2011
Last updated
10/31/2023
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