Basic Information
| Provider Information | |||||||||
| NPI: | 1407922883 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PAPE | ||||||||
| FirstName: | SUSAN | ||||||||
| MiddleName: | SOPER | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | R.N. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6160 GREENBRIAR LN | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172229678 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172176824 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 757 NORLAND AVE | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172176824 | ||||||||
| FaxNumber: | 7172176942 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/28/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WA2000X | RN334346L | PA | X | Nursing Service Providers | Registered Nurse | Administrator | 163WG0000X | RN334346L | PA | X | Nursing Service Providers | Registered Nurse | General Practice | 163WG0600X | RN334346L | PA | X | Nursing Service Providers | Registered Nurse | Gerontology | 163WM0705X | RN334346L | PA | X | Nursing Service Providers | Registered Nurse | Medical-Surgical | 163WR0400X | RN334346L | PA | X | Nursing Service Providers | Registered Nurse | Rehabilitation |
No ID Information.