Individual
SUZANNE LESTA REITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, WHNP-BC, FAANP
Contact information
Practice address
8751 ULMERTON RD, LARGO, FL 33771-3832
(727) 524-4410
(727) 524-4410
Mailing address
1480 GULF BLVD, #806, CLEARWATER, FL 33767
(616) 745-8463
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704094692
MI
363LW0102X
Women's Health Nurse Practitioner
Primary
2972182
FL
363LW0102X
Women's Health Nurse Practitioner
4704094692
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011712700
—
FL
Enumeration date
09/19/2005
Last updated
07/21/2022
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