Individual
COURTNEY RENAE SUSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
713 3RD AVE, LONGMONT, CO 80501-5926
(901) 463-7553
Mailing address
713 3RD AVE, LONGMONT, CO 80501-5926
(901) 463-7553
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0102480
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102480
LICENSE
CO
Enumeration date
03/25/2019
Last updated
02/26/2025
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