Healthcare Provider Details

I. General information

NPI: 1750314902
Provider Name (Legal Business Name): SUSAN S ADAMSON LNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 W WATER ST
HARRISONBURG VA
22801-3624
US

IV. Provider business mailing address

177 DIAMOND CT
HARRISONBURG VA
22801-3414
US

V. Phone/Fax

Practice location:
  • Phone: 540-433-5431
  • Fax:
Mailing address:
  • Phone: 540-433-1570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024090409
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: