Individual
SUSAN GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5225 WISCONSIN AVE NW, SUITE 402, WASHINGTON, DC 20015-2014
(202) 237-7000
Mailing address
1925 LAKEPORT WAY, RESTON, VA 20191-5427
(304) 920-1962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024170088
VA
363LF0000X
Family Nurse Practitioner
Primary
RN1020464
DC
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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