Provider Demographics
NPI:1427026046
Name:MORELAND, SUSAN SNIGHT (DNP CRNP)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:SNIGHT
Last Name:MORELAND
Suffix:
Gender:F
Credentials:DNP CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:116 DEFENSE HWY STE 400
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7050
Mailing Address - Country:US
Mailing Address - Phone:410-897-9841
Mailing Address - Fax:410-897-9852
Practice Address - Street 1:277 PENINSULA FARM RD STE I
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-1018
Practice Address - Country:US
Practice Address - Phone:410-989-8833
Practice Address - Fax:410-975-5641
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR082990363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR082990OtherMARYLAND STATE LICENSE