Provider Demographics
NPI:1801643697
Name:KRONBERGER, SUSAN P (LPN)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:P
Last Name:KRONBERGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:519 EHRET RD
Mailing Address - Street 2:
Mailing Address - City:FAIRLESS HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19030-3621
Mailing Address - Country:US
Mailing Address - Phone:215-264-9291
Mailing Address - Fax:484-550-7537
Practice Address - Street 1:960A HARVEST DR
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1991
Practice Address - Country:US
Practice Address - Phone:215-264-9291
Practice Address - Fax:484-550-7537
Is Sole Proprietor?:No
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA283101164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse