Individual
SUSAN KIRCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 WILLOWDALE DR, APT 32, FREDERICK, MD 21702-1171
(631) 487-9781
Mailing address
151 WILLOWDALE DR, APT 32, FREDERICK, MD 21702-1171
(631) 487-9781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
656740
NY
163W00000X
Registered Nurse
Primary
R210413
MD
164W00000X
Licensed Practical Nurse
232529-1
NY
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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