Obenrader, Suzanne Marie

Obenrader, Suzanne Marie is an individual health care provider with primary practice located at 515 Pennsylvania Ave 2Nd Fl Suite A, Fort Washington PA 19034-3314. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Obenrader, Suzanne Marie can be contacted via phone (215) 540-8404.

Contact Information

Primary practice address
515 Pennsylvania Ave 2Nd Fl Suite A Fort Washington PA 19034-3314
Phone: (215) 540-8404
Fax: (215) 540-8418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN18636FL Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X UP000800H Pennsylvania

Profile Details

NPI number 1518941103
LBN Legal business name Obenrader, Suzanne Marie
Credentials CRNP RN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Nov 8th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518941103 NPPES
Pennsylvania Other 574399 COVENTRY HEALTH AMERICA
Pennsylvania Other 30019410 COVENTRY HEALTH AMERICA

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