| Doctor Name: | SUZANNE NEBEKER |
| NPI Number: | 1427147511 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | NP-468A |
| Business Practice Address: | 805 Main St Salmon, ID - 834670000 |
| Business Phone Number: | 2087566212 |
| Business Fax Number: | 2087566336 |
| Mailing Address: | 203 S Daisy St, SALMON |
| State: | ID |
| Postal Code: | 834670000 |
| Phone Number: | 2087565600 |
| Fax Number: | 2087564169 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 09/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP-468A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |