Individual
SUSANNA HODGE VAN PELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
108 POINTE CREST CT, CARY, NC 27513-5732
(910) 308-4537
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5020171
NC
Other
Enumeration date
06/10/2024
Last updated
01/22/2026
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