| Doctor Name: | SUSAN LILL CRAVEN |
| NPI Number: | 1003079450 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 600020 |
| Business Practice Address: | 3613 Cape Center Drive Goshen Medical Services-cape Fear Fayetteville, NC - 28304 |
| Business Phone Number: | 9103541720 |
| Business Fax Number: | 8552691567 |
| Mailing Address: | 3613 Cape Center Drive, Goshen Medical Services-cape Fear FAYETTEVILLE |
| State: | NC |
| Postal Code: | 28304 |
| Phone Number: | 9103541720 |
| Fax Number: | 8552691567 |
| NPI Enumeration Date: | 07/07/2008 |
| NPI Last Update Date: | 09/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 600020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |