Individual
HEATHER WILEY SUESCUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
129 W LAKE MEAD PKWY, #B-18, HENDERSON, NV 89015-7055
(702) 564-4440
(702) 558-1522
Mailing address
129 W LAKE MEAD PKWY, #B-18, HENDERSON, NV 89015-7055
(702) 564-4440
(702) 558-1522
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN9431157
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000351
NV
367500000X
Certified Registered Nurse Anesthetist
RN521982L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NV
Enumeration date
12/06/2006
Last updated
08/07/2024
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