Doctor Name: | KATHRYN K. SUAREZ |
NPI Number: | 1326003740 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9168978 |
Business Practice Address: | 725 S Wahanna Rd Seaside, OR - 971387735 |
Business Phone Number: | 5037177700 |
Business Fax Number: | |
Mailing Address: | Po Box 3158, PORTLAND |
State: | OR |
Postal Code: | 972083158 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 08/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9168978 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |