Provider Demographics
NPI:1093711970
Name:MCVEY, SUSAN ELIZABETH (MS, CRNP)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:ELIZABETH
Last Name:MCVEY
Suffix:
Gender:F
Credentials:MS, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3227 HAWKS HILL LN
Mailing Address - Street 2:
Mailing Address - City:KEEDYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21756-1815
Mailing Address - Country:US
Mailing Address - Phone:410-322-3775
Mailing Address - Fax:413-677-0056
Practice Address - Street 1:3227 HAWKS HILL LN
Practice Address - Street 2:
Practice Address - City:KEEDYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21756-1815
Practice Address - Country:US
Practice Address - Phone:410-322-3775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-24
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR107453363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
0336804OtherANCC CERTIFICATION NUMBER
MD383841200Medicaid
MDR107453OtherCRNP LICENSE