Individual
TAMERA S. SUZANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
20 ELM ST, LOWER LEVEL, HORNELL, NY 14843-1933
(607) 590-2424
(607) 590-2428
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382025
NY
364SP0200X
Pediatric Clinical Nurse Specialist
559530-1
NY
Other
Enumeration date
08/25/2008
Last updated
03/02/2016
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