Individual
MS. SUZANNE E CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3330 S RIO GRANDE AVE STE 300, MONTROSE, CO 81401-4850
(970) 249-7751
(970) 249-5029
Mailing address
2303 S TOWNSEND AVE STE A, MONTROSE, CO 81401-5452
(970) 249-7751
(970) 249-5029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
94395
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81807848
—
CO
01
—
94395
STATE LICENSE
CO
Enumeration date
05/23/2005
Last updated
11/25/2024
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