Provider Information for 1417368309
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. SUSAN MARCHIONI
Sex: Female
NPI: 1417368309
Last Updated: 2025-03-26
Certification Date: 2025-03-25
Certification Date: 2025-03-25
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1417368309 | ||||||||
Enumeration Date | 2014-05-13 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1917 CHATHAM AVE CHARLOTTE, NC 28205-3629 United States Phone: 617-694-8752 | Fax: | ||||||||
Primary Practice Address | 1917 CHATHAM AVE CHARLOTTE, NC 28205-3629 United States Phone: 617-694-8752 | Fax: | ||||||||
Secondary Practice Address(es) | |||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|