Most Relevant Information
Provider Data
| NPI Number: | 1003290966 |
| Provider Name: | SUSAN L O'BRIEN CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP015090 |
Most Important Dates
| Enumeration Date: | 07/10/2015 |
| Last Updated: | 07/26/2022 |
Provider Practice Location
2608 KEISER BLVD
WYOMISSING
PA
196101961
Practice Location Phone/Fax
| Phone: | 6106855864 |
| Fax: | 6109291528 |
Provider Mailing Location
205 BETA CIR
WERNERSVILLE
PA
195651647
Provider Mailing Phone/Fax
| Phone: | 6104515640 |
| Fax: |