Provider Demographics
NPI:1730206624
Name:TWIGG, SUSAN R (RN)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:R
Last Name:TWIGG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 S. HAYS STREET
Mailing Address - Street 2:P.O. BOX 797
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-0797
Mailing Address - Country:US
Mailing Address - Phone:443-643-0354
Mailing Address - Fax:443-643-0357
Practice Address - Street 1:119 S. HAYS STREET
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-0797
Practice Address - Country:US
Practice Address - Phone:443-643-0354
Practice Address - Fax:443-643-0357
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR104399163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health