SUSAN SANFORD EBY APN NPI 1295734903

NPI Information

NPI: 1295734903
Provider Name: SUSAN SANFORD EBY, APN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
3344 SHEFFIELD CT
FALLS CHURCH, VA
ZIP 22042
Phone: (865) 254-3984
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Susan Sanford Eby, APN is a psychiatric/mental health nurse practitioner in Falls Church, VA. Susan Sanford Eby, APN NPI is 1295734903. 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:

3344 SHEFFIELD CT
FALLS CHURCH, VA
ZIP 22042-522
Phone: (865) 254-3984

The enumeration date for this NPI number is 7/15/2005 and was last updated on 2/21/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN101035	TENNESSEE	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APN7016	TENNESSEE	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	3908549	MEDICAID	TENNESSEE
2	3908549	OTHER	TENNESSEE	MEDICARE ID--UNSPECIFIED TYPE

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: 4/28/2024

NPI Synchronization or Removal

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