Individual
SUSAN ELIZABETH ERBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
100 W MAIN ST, SPRINGFIELD, OH 45502-1312
(937) 521-3900
Mailing address
3673 UTICA DR, KETTERING, OH 45439-2547
(937) 520-3012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0036879
OH
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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