Christmas, Susan Ellenburg

Christmas, Susan Ellenburg is an individual health care provider with primary practice located at 801 Green Valley Rd , Greensboro NC 27408-7021. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Nursing Service Providers / Registered Nurse is her primary health care specialty. Christmas, Susan Ellenburg can be contacted via phone (336) 832-6872.

Contact Information

Primary practice address
801 Green Valley Rd Greensboro NC 27408-7021
Phone: (336) 832-6872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 186076 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 301 North Carolina

Profile Details

NPI number 1326118571
LBN Legal business name Christmas, Susan Ellenburg
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326118571 NPPES
North Carolina MEDICAID 7002058

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