Doctor Name: | SUSAN TERWILLIGER |
NPI Number: | 1114172020 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDD, BS, PNP-BC, RN |
License Number: | F380333-1 |
Business Practice Address: | 1 Guthrie Sq Sayre, PA - 188401625 |
Business Phone Number: | 5708873070 |
Business Fax Number: | 5708873382 |
Mailing Address: | 1 Guthrie Sq, Guthrie Clinic - Pediatrics SAYRE |
State: | PA |
Postal Code: | 188401625 |
Phone Number: | 6075654652 |
Fax Number: | 6077774440 |
NPI Enumeration Date: | 11/19/2008 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | F380333-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |