Provider Demographics
NPI:1992869218
Name:ZWAHLEN, SUSAN P (FNP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:P
Last Name:ZWAHLEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 JEFFERSON AVE.
Mailing Address - Street 2:MCDONALD ARMY HEALTH CENTER
Mailing Address - City:FORT EUSTIS
Mailing Address - State:VA
Mailing Address - Zip Code:23604-5548
Mailing Address - Country:US
Mailing Address - Phone:757-878-7500
Mailing Address - Fax:757-314-7655
Practice Address - Street 1:576 JEFFERSON AVE.
Practice Address - Street 2:MCDONALD ARMY HEALTH CENTER
Practice Address - City:FORT EUSTIS
Practice Address - State:VA
Practice Address - Zip Code:23604-5548
Practice Address - Country:US
Practice Address - Phone:757-878-7500
Practice Address - Fax:757-314-7655
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024165957363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily