Individual
MS. SUSAN KAY TERWILLIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM,CPM,CDM
Contact information
Practice address
11517 OLD GLENN HIGHWAY, SUITE 203, EAGLE RIVER, AK 99577-7312
(907) 694-1123
(907) 694-6363
Mailing address
11517 OLD GLENN HIGHWAY, SUITE 203, EAGLE RIVER, AK 99577-7312
(907) 694-1123
(907) 694-6363
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
47
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NM8398
—
AK
Enumeration date
05/01/2007
Last updated
07/09/2007
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