Individual
MRS. SUZANNE M SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA, AGACNP-BC
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE B500, HUNTINGTON, WV 25701-3656
(304) 691-1787
(304) 691-8711
Mailing address
1600 MEDICAL CENTER DR, SUITE B500, HUNTINGTON, WV 25701-3656
(304) 691-1787
(304) 691-8711
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN232154
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN89479-ACNPC-AG
WV
363LG0600X
Gerontology Nurse Practitioner
89479
WV
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0026801
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065567
—
OH
Enumeration date
04/18/2007
Last updated
08/01/2022
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