Provider Demographics
NPI:1710478219
Name:MIHALJEVIC, SUSAN HAMER (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:HAMER
Last Name:MIHALJEVIC
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:119 VIP DR STE 105
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7976
Mailing Address - Country:US
Mailing Address - Phone:724-935-2610
Mailing Address - Fax:724-935-0331
Practice Address - Street 1:701 BROAD ST STE 422
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1652
Practice Address - Country:US
Practice Address - Phone:412-741-8700
Practice Address - Fax:712-741-3710
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAVP002303D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics