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Individual

SUZANNE MOORE FIRESTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1150 COCOA AVE, HERSHEY, PA 17033-1712
(717) 531-6015
Mailing address
1535 HIGHLANDS DR STE 100, LITITZ, PA 17543-7681
(717) 627-4088
(717) 627-4089

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP024327
PA
363LG0600X
Gerontology Nurse Practitioner
SP024327
PA
363LP2300X
Primary Care Nurse Practitioner
SP024327
PA

Other

Enumeration date
01/10/2022
Last updated
10/03/2023
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