Basic Information
Provider Information
NPI: 1922232149
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DRUMHELLER
FirstName: SUE
MiddleName: ANNE
NamePrefix:  
NameSuffix:  
Credential: GNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 231 S 13TH ST
Address2:  
City: READING
State: PA
PostalCode: 196022047
CountryCode: US
TelephoneNumber: 4847971136
FaxNumber: 6107416807
Practice Location
Address1: 680 BLAIR MILL RD
Address2:  
City: HORSHAM
State: PA
PostalCode: 190442223
CountryCode: US
TelephoneNumber: 2679657962
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/04/2009
LastUpdateDate: 05/28/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LG0600XSPO10274PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology

No ID Information.


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