Individual
SUZANNE EDWINA CIESLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2108 TEXAS AVE STE 2061, ALEXANDRIA, LA 71301-3944
(318) 448-1041
Mailing address
131 COLUMNS DR, ALEXANDRIA, LA 71303-8503
(318) 449-9080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN057280 AP01885
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1670375
—
LA
Enumeration date
10/11/2006
Last updated
11/06/2007
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