Ruetzel, Susan Thompson

Ruetzel, Susan Thompson is an individual health care provider with primary practice located at 1060 First Colonial Rd , Virginia Beach VA 23454-3002. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ruetzel, Susan Thompson can be contacted via phone (757) 395-6116.

Contact Information

Primary practice address
1060 First Colonial Rd Virginia Beach VA 23454-3002
Phone: (757) 395-6116
Fax: (757) 395-6291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024166083 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024166083 Virginia

Profile Details

NPI number 1558339598
LBN Legal business name Ruetzel, Susan Thompson
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Mar 11th, 2024 - about 6 months 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 1558339598 NPPES
Virginia MEDICAID 010210011

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