Healthcare Provider Details
I. General information
NPI: 1588935829
Provider Name (Legal Business Name): HEATHER STERLING SLUSSER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/18/2012
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 CHILDRENS LN
NORFOLK VA
23507-1910
US
IV. Provider business mailing address
811 REDGATE AVE
NORFOLK VA
23507-1515
US
V. Phone/Fax
- Phone: 757-668-7331
- Fax:
- Phone: 757-668-7331
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0203X |
| Taxonomy | Pediatric Critical Care Medicine Physician |
| License Number | 0101279092 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: