Provider Demographics
NPI:1801868617
Name:WEEKS, SUSAN RAMSEY (NP)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:RAMSEY
Last Name:WEEKS
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 1:100 COLLEGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112
Mailing Address - Country:US
Mailing Address - Phone:276-666-0500
Mailing Address - Fax:276-666-0400
Practice Address - Street 1:100 COLLEGE DRIVE
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112
Practice Address - Country:US
Practice Address - Phone:276-666-0500
Practice Address - Fax:276-666-0400
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024086340363LF0000X
NC5003993363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2593536COtherMEDICARE PTAN