Individual
SUSAN M FEYOCK
Active
Individual
SUSAN M FEYOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001173413
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164710
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010042836
—
VA
01
—
P00218233
RAILROAD MEDICARE
—
Enumeration date
01/23/2006
Last updated
12/29/2010
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