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Individual

SUSAN KELLOGG SPADT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
919 CONESTOGA RD, BUILDING 1, SUITE 300, BRYN MAWR, PA 19010-1352
(610) 656-6580
(610) 525-3664
Mailing address
919 CONESTOGA RD, BUILDING 1, SUITE 300, BRYN MAWR, PA 19010-1352
(610) 656-6580
(610) 525-3664

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TP0001893G
PA
363LW0102X
Women's Health Nurse Practitioner
TP001893G
PA

Other

Enumeration date
01/22/2013
Last updated
04/12/2017
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