Mersch, Susan M

Mersch, Susan M is an individual health care provider with primary practice located at 10521 Rosehaven St Ste Ll100 , Fairfax VA 22030-2877. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mersch, Susan M can be contacted via phone (703) 281-5000.

Contact Information

Primary practice address
10521 Rosehaven St Ste Ll100 Fairfax VA 22030-2877
Fax: (703) 255-0765
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209004109 Illinois

Profile Details

NPI number 1174508287
LBN Legal business name Mersch, Susan M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Nov 29th, 2023 - about 2 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 1174508287 NPPES
Virginia MEDICAID 1174508287
Virginia Other 00024172631

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