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NPI Code Detail

MEDICARE: SUSAN ELUWA FNP-BC

MEDICARE:   SUSAN  ELUWA  FNP-BC
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
1363LF0000XFamily Nurse PractitionerSP022981PA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerSP032932PA

General Provider Information

NPI Number : 1710574975
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN ELUWA FNP-BC
Provider Business Mailing Address
First Line : 7805 BROCKLEHURST ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3502
Country : US
Telephone Number : 267-315-8876
Fax Number :
Provider Business Practice Location Address
First Line : 7805 BROCKLEHURST ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3502
Country : US
Telephone Number : 267-315-8876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2020
Last Update Date : 06/02/2026

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Directions to “ SUSAN ELUWA FNP-BC” Practice Location

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