Individual
SUZANNE L. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 E BASELINE RD STE 306, PHOENIX, AZ 85042-6574
(602) 305-8200
Mailing address
1741 S CLEARVIEW AVE UNIT 77, MESA, AZ 85209-4011
(480) 807-9114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2842
AZ
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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