Individual
SUZANNE HERTA GUBITOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
4741 HIGHWAY 153 STE B, EASLEY, SC 29642-9161
(888) 506-8885
(888) 506-8885
Mailing address
501 ALLENTON WAY, GREER, SC 29651-7005
(864) 420-2511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22112
SC
363LG0600X
Gerontology Nurse Practitioner
22112
SC
Other
Enumeration date
09/20/2018
Last updated
01/09/2025
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