Individual
SUSAN L WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 GROVE RD, 2ND FLOOR ANESTHESIA DEPT, GREENVILLE, SC 29605-5611
(864) 455-7111
Mailing address
301 HEATHER FALLS LN, HEATHER FALLS LANE, SIMPSONVILLE, SC 29681-4694
(864) 216-1983
(864) 216-1983
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN2896
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PEND
—
SC
Enumeration date
06/06/2006
Last updated
07/29/2011
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