| Doctor Name: | SUSAN I GAITHER |
| NPI Number: | 1053498121 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNCNP |
| License Number: | 0024166260 |
| Business Practice Address: | 3708 S Main St Blacksburg, VA - 240607007 |
| Business Phone Number: | 5409513376 |
| Business Fax Number: | 5409511276 |
| Mailing Address: | 3706 S Main St, Ste B BLACKSBURG |
| State: | VA |
| Postal Code: | 240607006 |
| Phone Number: | 5409513376 |
| Fax Number: | 5409511276 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 04/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024166260 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |