| Doctor Name: | SUSAN EDGE |
| NPI Number: | 1811947401 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,FNP-C |
| License Number: | 249269 |
| Business Practice Address: | 205 E Lavielle St Kirbyville, TX - 759562119 |
| Business Phone Number: | 4094232217 |
| Business Fax Number: | |
| Mailing Address: | 5020 County Road 701, KIRBYVILLE |
| State: | TX |
| Postal Code: | 759564912 |
| Phone Number: | 4093634233 |
| Fax Number: | |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 04/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 249269 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |