Individual
SUZANNE M ROONEY
Active
Individual
SUZANNE M ROONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28115728A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71004219A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201119160
—
IN
Enumeration date
10/17/2012
Last updated
03/15/2022
Update your record
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