Susan Lyn Kruse-sullivan, CRNP | |
230 W Washington Sq, Philadelphia, PA 19106-3585 | |
(215) 829-6088 | |
Not Available |
Full Name | Susan Lyn Kruse-sullivan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 230 W Washington Sq, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538566872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN309947L (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP014639 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pennsylvania Hospital | Philadelphia, PA | Hospital |
Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Penn-medical Group | 6204730955 | 3051 |
Entity Name | University Of Penn-medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679677975 PECOS PAC ID: 6204730955 Enrollment ID: O20150221000231 |
Mailing Address | Practice Location Address |
---|---|
Susan Lyn Kruse-sullivan, CRNP 230 W Washington Sq, Philadelphia, PA 19106-3585 Ph: () - | Susan Lyn Kruse-sullivan, CRNP 230 W Washington Sq, Philadelphia, PA 19106-3585 Ph: (215) 829-6088 |
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