Provider Demographics
NPI:1073594164
Name:STIEGLER, SUSAN TOMLINSON (PA)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:TOMLINSON
Last Name:STIEGLER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:SHERRILL
Other - Last Name:TOMLINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:FORT BELVOIR COMMUNITY HOSPITAL
Mailing Address - Street 2:9300 DEWITT LOOP
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-5901
Mailing Address - Country:US
Mailing Address - Phone:571-231-0720
Mailing Address - Fax:571-231-6607
Practice Address - Street 1:2480 LLEWELLYN AVE
Practice Address - Street 2:FT. GEORGE G. MEADE
Practice Address - City:FT MEADE
Practice Address - State:MD
Practice Address - Zip Code:20755-5800
Practice Address - Country:US
Practice Address - Phone:301-677-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0001556363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant