Individual
SUZANNE CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
LEE STREET 4TH FLOOR, CHARLOTTESVILLE, VA 22908-0001
(434) 924-9144
(434) 924-2940
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024063100
VA
Other
Enumeration date
08/01/2007
Last updated
12/17/2012
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