Miss Susan Adele Ketcham, MSN RN AGCNS-BC CPAN - Clinical Nurse Specialist in Charlottesville, VA

Miss Susan Adele Ketcham, MSN RN AGCNS-BC CPAN is a Clinical Nurse Specialist - Adult Health based in Charlottesville, Virginia. Miss Susan Adele Ketcham is licensed to practice in Virginia (license number 0024182547) and her current practice location is 1215 Lee St, Charlottesville, Virginia. She can be reached at her office (for appointments etc.) via phone at (434) 297-6016.

NPI number for Miss Susan Adele Ketcham is 1689345365 and her current mailing address is 152 Timber Ridge Ln, Zion Crossroads, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689345365.

Contact Information

Miss Susan Adele Ketcham, MSN RN AGCNS-BC CPAN
1215 Lee St,
Charlottesville, VA 22908-0816
(434) 297-6016
Not Available

Map and Direction




Provider's Profile

Full NameMiss Susan Adele Ketcham
GenderFemale
SpecialityClinical Nurse Specialist - Adult Health
Location1215 Lee St, Charlottesville, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689345365
  • Provider Enumeration Date: 09/23/2021
  • Last Update Date: 09/23/2021

Medical Identifiers

Medical identifiers for Miss Susan Adele Ketcham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689345365NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health 0024182547 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Susan Adele Ketcham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Susan Adele Ketcham, MSN RN AGCNS-BC CPAN
152 Timber Ridge Ln,
Zion Crossroads, VA 22942-6981

Ph: (617) 283-1502
Miss Susan Adele Ketcham, MSN RN AGCNS-BC CPAN
1215 Lee St,
Charlottesville, VA 22908-0816

Ph: (434) 297-6016

Reviews and Comments


Clinical Nurse Specialist Nurses in Charlottesville, VA

Sandra Deaton Mahanes, DNP, RN, CCNS
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Tanya D Thomas, DNP, APRN, AGCNS-BC
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Phone: 434-243-0932    
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Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-806-8305    
Mrs. Brenda Deller, APP - CNS
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Medicare: Not Enrolled in Medicare
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 143-492-4950    
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Medicare: Not Enrolled in Medicare
Practice Location: 1215 Lee Street Uva Health, Charlottesville, VA 22908
Phone: 434-243-3791    
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Medicare: Not Enrolled in Medicare
Practice Location: Po Box 800158, Charlottesville, VA 22908
Phone: 434-328-0702    

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