| Organization Name: | SUSAN BARB CRNP, LLC |
| NPI Number: | 1932500436 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN BARB (OWNER) |
| Mailing Address: | 1401 Chester Pike Suite B Eddystone |
| State: | PA US |
| Postal Code: | 190221336 |
| Phone Number: | 6104470609 |
| Fax Number: | 6106494421 |
| NPI Enumeration Date: | 09/16/2014 |
| NPI Last Update Date: | 10/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP011731 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |