MISS SUSAN ADELE KETCHAM MSN RN AGCNS-BC CPAN NPI 1689345365

NPI Information

NPI: 1689345365
Provider Name: MISS SUSAN ADELE KETCHAM, MSN RN AGCNS-BC CPAN
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1215 LEE ST
CHARLOTTESVILLE, VA
ZIP 22908
Phone: (434) 297-6016
Get Directions

MISS Susan Adele Ketcham, MSN RN AGCNS-BC CPAN is an adult health clinical nurse specialist in Charlottesville, VA. MISS Susan Adele Ketcham, MSN RN AGCNS-BC CPAN NPI is 1689345365. 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:

1215 LEE ST
CHARLOTTESVILLE, VA
ZIP 22908-816
Phone: (434) 297-6016

The enumeration date for this NPI number is 9/23/2021 and was last updated on 9/23/2021.

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	364SA2200X	Clinical Nurse Specialist	Adult Health	0024182547	VIRGINIA	Yes

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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