Individual
MISS SUSAN J HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-4615
Mailing address
32 W EVERGREEN AVE, PHILADELPHIA, PA 19118-3315
(215) 248-0243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN303136L
PA
163WC2100X
Continence Care Registered Nurse
RN303136L
PA
163WE0900X
Enterostomal Therapy Registered Nurse
RN303136L
PA
163WR0400X
Rehabilitation Registered Nurse
RN303136L
PA
163WW0000X
Wound Care Registered Nurse
Primary
RN303136L
PA
363LG0600X
Gerontology Nurse Practitioner
TP003487H
PA
Other
Enumeration date
08/14/2006
Last updated
09/11/2025
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