Individual
MS. SUSAN M MERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
10521 ROSEHAVEN ST STE LL100, FAIRFAX, VA 22030-2877
(703) 281-5000
(703) 255-0765
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209004109
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00024172631
LICENSE
VA
05
—
1174508287
—
VA
Enumeration date
12/12/2005
Last updated
11/29/2023
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