| Susan Noonan, CRNA | |
|
2010 Old West Chester Pike, Ste 330, Havertown, PA 19083-2712 | |
| (610) 789-8070 | |
| (610) 789-9937 |
| Full Name | Susan Noonan |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2010 Old West Chester Pike, Havertown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275528796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN307680L (Pennsylvania) | Primary |
| Entity Name | Woodbourne Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487600185 PECOS PAC ID: 0749284412 Enrollment ID: O20060912000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Noonan, CRNA Po Box 1250, Havertown, PA 19083-5850 Ph: (717) 263-5562 | Susan Noonan, CRNA 2010 Old West Chester Pike, Ste 330, Havertown, PA 19083-2712 Ph: (610) 789-8070 |
Marylouise Caneda, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2010 Old West Chester Pike, Ste 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Jessica L Collins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2010 Old West Chester Pike, Ste 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Alexander Matthew Pugliese, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2010 W Chester Pike, Suite 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Elizabeth J Shelly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2010 Old West Chester Pike, Ste 337, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Russell Zehnacker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Old West Chester Pike, Suite 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Kimberly Medwid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Old West Chester Pike, Havertown, PA 19083 Phone: 610-789-8070 | |
Lisa Ann Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Old W Chester Pike, Suite 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 |