Kelly, Susan Ellen

Kelly, Susan Ellen is an individual health care provider with primary practice located at 1715 N George Mason Dr Ste 305, Arlington VA 22205-3609. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Kelly, Susan Ellen can be contacted via phone (703) 816-4152.

Contact Information

Primary practice address
1715 N George Mason Dr Ste 305 Arlington VA 22205-3609
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 0024166282 Virginia

Profile Details

NPI number 1841320322
LBN Legal business name Kelly, Susan Ellen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 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.

Request for update

Popular Providers