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Individual

SUZANNE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNPC-AG

Contact information

Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
2825 E BARNETT RD, MEDFORD, OR 97504-8332

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10034083
OR
363LA2100X
Acute Care Nurse Practitioner
432181
NY

Other

Enumeration date
10/01/2015
Last updated
06/05/2026
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