Individual
MRS. SUZANNE MICHELLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
600 S BENITA BLVD, VESTAL, NY 13850-2675
(607) 757-2334
Mailing address
139 NELSON RD, VESTAL, NY 13850-6124
(607) 785-1350
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
688997-1
NY
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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