Individual
DEANNA M SUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
REGIONAL ADMIN OFFICE, 3411 N 5TH AVE., STE. 209, PHOENIX, NM 85013-3812
(602) 789-0344
(602) 789-8389
Mailing address
REGIONAL ADMIN OFFICE, 3411 N 5TH AVE., STE. 209, PHOENIX, NM 85013-3812
(602) 789-0344
(602) 789-8389
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP00403
NM
363LF0000X
Family Nurse Practitioner
R23249
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM026398
BCBS
NM
05
—
G3296
—
NM
Enumeration date
10/31/2005
Last updated
03/17/2018
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