Doctor Name: | MRS. SUSAN SOMMERS KOSTER |
NPI Number: | 1134337207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP009019 |
Business Practice Address: | 2700 Funks Rd Hatfield, PA - 194402834 |
Business Phone Number: | 2153682500 |
Business Fax Number: | |
Mailing Address: | 49 May Apple Dr, DOWNINGTOWN |
State: | PA |
Postal Code: | 193353457 |
Phone Number: | 6108737455 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP009019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |