SUSAN A SOUTHARD

PHILADELPHIA, PA
NPI1811063183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: PA  VP002019C)
Enumeration Date2006-11-28
Last Update Date2007-07-26
Business Address
-- SUSAN A SOUTHARD CRNP
3701 MARKET ST 6TH FLOOR SUITE 640
PHILADELPHIA, PA 19104-5502
Phone number: 215-662-2250
Mailing Address
-- SUSAN A SOUTHARD CRNP
3624 MARKET ST SUITE 560W
PHILADELPHIA, PA 19104-2614
Phone number: 215-662-2286