Individual
MISS SUSANA LARVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1166 HILTS RD, WRIGHTSVILLE, PA 17368-9205
(717) 478-1616
(717) 252-6345
Mailing address
21 W LEXTON RD, NEW CASTLE, DE 19720-8824
(267) 467-2477
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN563757
PA
363L00000X
Nurse Practitioner
LG0001013
DE
363L00000X
Nurse Practitioner
SP017300
PA
Other
Enumeration date
06/21/2007
Last updated
05/11/2017
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