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Individual
DR. SUZETTE REBECCA HOLDER
Active
Individual
DR. SUZETTE REBECCA HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP, CNS, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
559546-1
NY
163W00000X
Registered Nurse
599546
NY
363L00000X
Nurse Practitioner
F308644-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F308644-1
NY
364S00000X
Clinical Nurse Specialist
599546-1
NY
Other
Enumeration date
04/13/2018
Last updated
12/08/2025
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