Mrs Susan Annette Stapp, CRNP is a
Nurse Practitioner - Family based in Holly Pond, Alabama. Mrs Susan Annette Stapp is licensed to practice in Alabama (license number 1-102990) and her current practice location is
111 Brooklyn Rd, Holly Pond, Alabama. She can be reached at her office (for appointments etc.) via phone at
(256) 451-1250.
NPI number for Mrs Susan Annette Stapp is 1780924167 and her current mailing address is 111 Brooklyn Rd, Holly Pond, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780924167.
Provider's Profile
Full Name | Mrs Susan Annette Stapp |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 111 Brooklyn Rd, Holly Pond, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780924167
- Provider Enumeration Date: 02/22/2013
- Last Update Date: 05/05/2015
Medical Identifiers
Medical identifiers for Mrs Susan Annette Stapp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780924167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1-102990 (Alabama) | 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. Mrs Susan Annette Stapp 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 Address | Practice Location Address |
Mrs Susan Annette Stapp, CRNP 111 Brooklyn Rd, Holly Pond, AL 35083-6478 Ph: (256) 451-1250 | Mrs Susan Annette Stapp, CRNP 111 Brooklyn Rd, Holly Pond, AL 35083-6478 Ph: (256) 451-1250 |
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