Individual
SUZANNE M HENNINGS
Active
Individual
SUZANNE M HENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
H095129
IA
363LA2200X
Adult Health Nurse Practitioner
RN096240
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z6609
HEALTHNET
AZ
01
—
500028641
RAILROAD MEDICARE
AZ
05
—
740573
—
AZ
Enumeration date
06/30/2005
Last updated
02/14/2017
Update your record
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