Susan O'brien
Nurse Practitioner - Family Medicine
2608 Keiser Blvd
Wyomissing
, Pennsylvania 19610-3333
Susan O'brien
Nurse Practitioner - Family Medicine
2608 Keiser Blvd
Wyomissing
, Pennsylvania 19610-3333
(610) 451-5640
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Susan O'brien
- 205 Beta Cir
- Wernersville, PA
- Zip : 19565-1647
- Phone : (610) 451-5640
Second Address
- Susan O'brien
- 2608 Keiser Blvd
- Wyomissing, PA
- Zip : 19610-3333
- Phone : (610) 685-5864
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | SP015090 | PA |
National Provider Identifier
| NPI | 1003290966 |
|---|---|
| Provider Name | Susan O'brien |
| First Address | Wernersville, PA 19565-1647 |
| Second Address | Wyomissing, PA 19610-3333 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2015 |
| Last Update Date | 10/07/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.