Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 01290000-43 | VA |
NPI | 1073852844 |
---|---|
Provider Name | Mrs. Susan Marie Oshel |
First Address | Roanoke, VA 24018-3727 |
Second Address | Roanoke, VA 24018-3727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2013 |
Last Update Date | 13/02/2013 |