# MS. ODETTA RUTH SUAREZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1396034120
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 26NJ00324100 | NJ | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 26NJ00324100 | NJ | — |
| 363LF0000X | Family Nurse Practitioner | 26NJ00324100 | NJ | — |
| 363LF0000X | Family Nurse Practitioner | 341048 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ00324100 | NJ | — |

## Other

- **Enumeration date:** 04/01/2011
- **Last updated:** 10/21/2024