SUSAN A SOUTHARD CRNP NPI 1811063183

NPI Information

NPI: 1811063183
Provider Name: SUSAN A SOUTHARD, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3701 MARKET ST
6TH FLOOR SUITE 640
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2250
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Susan A Southard, CRNP is an adult health nurse practitioner in Philadelphia, PA. Susan A Southard, CRNP NPI is 1811063183. 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:

3701 MARKET ST
6TH FLOOR SUITE 640
PHILADELPHIA, PA
ZIP 19104-502
Phone: (215) 662-2250

The NPI 1811063183 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 7/26/2007.

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	363LA2200X	Nurse Practitioner	Adult Health	VP002019C	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	P24404	MEDICARE UPIN	PENNSYLVANIA
2	045430F15	MEDICARE PIN	PENNSYLVANIA

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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