Individual
SUSAN R CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
135 S PENN AVE, HARRISVILLE, WV 26362-1371
(304) 643-4005
(304) 643-4007
Mailing address
PO BOX 373, HARRISVILLE, WV 26362-0373
(304) 643-4005
(304) 643-4007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
55537
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0037818
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810018904
—
WV
Enumeration date
08/10/2010
Last updated
12/04/2024
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