Provider Demographics
NPI:1992733216
Name:RICHARDS, SUSANNE ATKINS (CRNP)
Entity type:Individual
Prefix:
First Name:SUSANNE
Middle Name:ATKINS
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:SUSANNE
Other - Middle Name:ATKINS
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 22581
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-2581
Mailing Address - Country:US
Mailing Address - Phone:610-482-4795
Mailing Address - Fax:856-528-3117
Practice Address - Street 1:915 OLD FERN HILL RD
Practice Address - Street 2:BLDG D, SUITE 600
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380
Practice Address - Country:US
Practice Address - Phone:610-692-3434
Practice Address - Fax:610-692-0265
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008519363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner