Individual
MS. SUSAN S BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
401 W BROAD ST, SUITE 1, QUAKERTOWN, PA 18951-1264
(610) 481-0481
(610) 481-0486
Mailing address
PO BOX 813, TREXLERTOWN, PA 18087-0813
(610) 481-0481
(610) 481-0486
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
UP001505G
PA
Other
Enumeration date
12/15/2006
Last updated
07/08/2016
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