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Contact Information

SUSAN C HERNDON, NP
1240 LEE ST
CHARLOTTESVILLE, VA22908-0817
 Phone: 434-243-5233
 Fax: 434-244-7526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for SUSAN C HERNDON · (Female)

NPI # 1114432812
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 12/05/2017
Last updated 11/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • VA License # 0024175057
Hospital affiliation(s)
  • RIVERSIDE TAPPAHANNOCK HOSPITAL - (Acute Care)
    618 HOSPITAL ROAD
    TAPPAHANNOCK, VA 22560
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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