Individual
MRS. SUZANNE SHARON BURLAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2123 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-2062
(513) 585-3099
Mailing address
237 WILLIAM HOWARD TAFT RD, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 45219-2610
(513) 263-8571
(513) 263-8622
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.17179-NP
OH
363LA2200X
Adult Health Nurse Practitioner
COA.17179-NP
OH
363LG0600X
Gerontology Nurse Practitioner
COA.17179-NP
OH
363LP2300X
Primary Care Nurse Practitioner
COA.17179-NP
OH
Other
Enumeration date
03/18/2015
Last updated
07/17/2019
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