Individual
SUSAN DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 695-5895
Mailing address
6 STUART DR, DOVER, DE 19901-5816
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0017262
DE
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
LH-0000113
DE
Other
Enumeration date
02/14/2007
Last updated
09/11/2025
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