Individual
SUZANNE MARIE ROSSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
12750 ST FRANCIS DR STE 310, CROWN POINT, IN 46307-0264
(219) 213-2280
(219) 213-2281
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
71011404A
IN
363L00000X
Nurse Practitioner
28160468A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71011404A
IN
Other
Enumeration date
06/23/2021
Last updated
01/12/2024
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