Individual
MRS. SUZANNE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
606 CUSTIS RD, GLENSIDE, PA 19038-2014
(215) 384-3547
Mailing address
606 CUSTIS RD, GLENSIDE, PA 19038-2014
(215) 384-3547
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
TP004873C
PA
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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