Doctor Name: | TAMERA S. SUZANNE |
NPI Number: | 1386891059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | 559530-1 |
Business Practice Address: | 20 Elm St Lower Level Hornell, NY - 148431933 |
Business Phone Number: | 6075902424 |
Business Fax Number: | 6075902428 |
Mailing Address: | 300 West Ave, BROCKPORT |
State: | NY |
Postal Code: | 144201118 |
Phone Number: | 5856373905 |
Fax Number: | 5856374990 |
NPI Enumeration Date: | 08/25/2008 |
NPI Last Update Date: | 03/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0200X |
License Number: | 559530-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |