Provider Demographics
NPI:1356510564
Name:PLUNKETT, SUSAN GALFO (NP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:GALFO
Last Name:PLUNKETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 N MAIN ST
Mailing Address - Street 2:BOX 26
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3903
Mailing Address - Country:US
Mailing Address - Phone:814-332-4380
Mailing Address - Fax:
Practice Address - Street 1:520 N MAIN ST
Practice Address - Street 2:BOX 26
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3903
Practice Address - Country:US
Practice Address - Phone:814-332-4380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP001244C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health