Provider Demographics
NPI:1114905916
Name:MEYER, SUSAN A (ARNP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:A
Last Name:MEYER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HERON GREEN CT
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-1434
Mailing Address - Country:US
Mailing Address - Phone:302-834-9744
Mailing Address - Fax:
Practice Address - Street 1:282 THE GRN
Practice Address - Street 2:UNIVERSITY OF DELAWARE
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19716-0009
Practice Address - Country:US
Practice Address - Phone:302-831-8035
Practice Address - Fax:302-831-8699
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELH-0000105363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health