Person Information

Name:SUSAN MCMERTY CAMPISCIANO

Address Information

Address(city state zipcode):Broomall PA19008

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Pediatric Acute ChronicNumber:VP004044N
Profession:NursingStatus:ActiveDate This Status:
Issue Date:9/25/1996Expires:10/31/2017Last Renewed:9/7/2015

Prerequisite Information

Licensee:CAMPISCIANO, SUSAN MCMERTYRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:002473Status:Agreement Terminated
Date of Association:Date of Expiration:

Licensee:CAMPISCIANO, SUSAN MCMERTYRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:014217Status:Active
Date of Association:Date of Expiration:

Licensee:CAMPISCIANO, SUSAN MCMERTYRelationship:Self Automatic
Type:Registered NurseNumber:RN310324LStatus:Active
Date of Association:Date of Expiration:

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