Susan Rachel Ethridge, FNP Valid NPI

Individual provider · Family Nurse Practitioner · Ashburn, GA

NPI

1316922206

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

RN076629 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2005-12-13

Last updated

2021-06-02