Doctor Name: | MRS. SUZAN WELLER FINE |
NPI Number: | 1053442111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP001420H |
Business Practice Address: | 7900 Old York Rd Suite 108b Elkins Park, PA - 190272310 |
Business Phone Number: | 2157822288 |
Business Fax Number: | 2157822120 |
Mailing Address: | 7515 Woodlawn Ave, ELKINS PARK |
State: | PA |
Postal Code: | 190272910 |
Phone Number: | 2157821056 |
Fax Number: | 2157823849 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 09/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | SP001420H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |