Weiner, Susan Ernst

Weiner, Susan Ernst is an individual health care provider with primary practice located at 20955 Professional Plz Ste 200, Ashburn VA 20147-3405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Weiner, Susan Ernst can be contacted via phone (703) 729-7652.

Contact Information

Primary practice address
20955 Professional Plz Ste 200 Ashburn VA 20147-3405
Phone: (703) 729-7652
Fax: (703) 729-8746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024095989 Virginia

Profile Details

NPI number 1578557930
LBN Legal business name Weiner, Susan Ernst
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Mar 4th, 2011 - about 15 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 1578557930 NPPES
Virginia MEDICAID 7780249

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