Healthcare Provider Details

I. General information

NPI: 1407922883
Provider Name (Legal Business Name): SUSAN SOPER PAPE R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 NORLAND AVE
CHAMBERSBURG PA
17201-4230
US

IV. Provider business mailing address

6160 GREENBRIAR LN
FAYETTEVILLE PA
17222-9678
US

V. Phone/Fax

Practice location:
  • Phone: 717-217-6824
  • Fax: 717-217-6942
Mailing address:
  • Phone: 717-217-6824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberRN334346L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN334346L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License NumberRN334346L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN334346L
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License NumberRN334346L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: