| Doctor Name: | MS. SUSAN HERROLD |
| NPI Number: | 1184604860 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | RN094915 |
| Business Practice Address: | 3475 N Saratoga St Command Suite Oak Harbor, WA - 982784927 |
| Business Phone Number: | 3602579974 |
| Business Fax Number: | |
| Mailing Address: | 1307 Baker Ct, OAK HARBOR |
| State: | WA |
| Postal Code: | 982773336 |
| Phone Number: | 3602401883 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | RN094915 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |