SUSAN TERWILLIGER EDD BS PNP-BC RN NPI 1114172020

NPI Information

NPI: 1114172020
Provider Name: SUSAN TERWILLIGER, EDD, BS, PNP-BC, RN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1 GUTHRIE SQ
SAYRE, PA
ZIP 18840
Phone: (570) 887-3070
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Susan Terwilliger, EDD, BS, PNP-BC, RN is a pediatrics nurse practitioner in Sayre, PA. Susan Terwilliger, EDD, BS, PNP-BC, RN NPI is 1114172020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 GUTHRIE SQ
SAYRE, PA
ZIP 18840-625
Phone: (570) 887-3070
Fax: (570) 887-3382

The enumeration date for this NPI number is 11/19/2008 and was last updated on 8/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	F380333-1	NEW YORK	No
2	363LP0200X	Nurse Practitioner	Pediatrics	TP002073D	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03081490	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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