Favorite, Susan Bridget

Favorite, Susan Bridget is an individual health care provider with primary practice located at 169 Martin Ave , Ephrata PA 17522-1724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Favorite, Susan Bridget can be contacted via phone (717) 738-6618.

Contact Information

Primary practice address
169 Martin Ave Ephrata PA 17522-1724
Phone: (717) 738-6618
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 071093 Pennsylvania

Profile Details

NPI number 1487743464
LBN Legal business name Favorite, Susan Bridget
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 18 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 1487743464 NPPES
Pennsylvania Other RN302905L RN LICENSE

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