| Doctor Name: | SUZANNE COTHRAN |
| NPI Number: | 1376892687 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNP |
| License Number: | R29161 |
| Business Practice Address: | 92 S Maple St Hazen, AR - 720648203 |
| Business Phone Number: | 8702554323 |
| Business Fax Number: | 8702554910 |
| Mailing Address: | 941 Mclean Ave, Suite 387 YONKERS |
| State: | NY |
| Postal Code: | 107044107 |
| Phone Number: | 9142376797 |
| Fax Number: | 9142376790 |
| NPI Enumeration Date: | 08/31/2012 |
| NPI Last Update Date: | 01/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0000X |
| License Number: | R29161 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Wound Care |
| Taxonomy Definition: | |