Individual
SUE A CRESSEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2534 MENDOTA RD, MENDOTA, VA 24270-2018
(276) 645-6710
(276) 645-6712
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024062526
VA
363L00000X
Nurse Practitioner
5784
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4349902
—
TN
Enumeration date
04/18/2006
Last updated
07/08/2007
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