Healthcare Provider Details

I. General information

NPI: 1952389579
Provider Name (Legal Business Name): SUSAN L VROBEL CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS SUSAN L STUDEBAKER

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 12/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 W EMMETT ST
BATTLE CREEK MI
49037-2963
US

IV. Provider business mailing address

181 W EMMETT ST
BATTLE CREEK MI
49037-2963
US

V. Phone/Fax

Practice location:
  • Phone: 269-966-2600
  • Fax: 269-965-4773
Mailing address:
  • Phone: 269-966-2600
  • Fax: 269-965-4773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704128102
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: