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NPI Code Detail

MEDICARE: MRS. SUZANNE RANSEHOUSEN CRNP

MEDICARE: MRS. SUZANNE RANSEHOUSEN CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerRXAPN3338DE

General Provider Information

NPI Number : 1255323556
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUZANNE RANSEHOUSEN CRNP
Provider Business Mailing Address
First Line : 8 NEWFIELD CT
Second Line :
City : WEST GROVE
State : PA
Zip : 19390-8942
Country : US
Telephone Number : 610-869-5689
Fax Number :
Provider Business Practice Location Address
First Line : 726 LOVEVILLE RD
Second Line :
City : HOCKESSIN
State : DE
Zip : 19707-1515
Country : US
Telephone Number : 302-235-6026
Fax Number : 302-239-0989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 09/02/2010

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