National Provider Identifier

Tamera S. Suzanne, PNP

Tamera S. Suzanne, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Hornell, NY and a listed phone number of (607) 590-2424.

NPI 1386891059Hornell, NYPediatric Nurse Practitioner

Profile Overview

NPI
1386891059
Provider Type
Individual
Primary Specialty
Pediatric Nurse Practitioner
Enumeration Date
August 25, 2008
Last Updated
March 02, 2016

Practice Location

  • 20 Elm St
  • Lower Level
  • Hornell, NY 14843-1933

Phone: (607) 590-2424

Mailing Address

  • 300 West Ave
  • Brockport, NY 14420-1118

Specialties

  • Pediatric Nurse Practitioner (363LP0200X)
  • Pediatric Clinical Nurse Specialist (364SP0200X)
Full Record
NPI
1386891059
Entity Type
Individual
Last Name
Suzanne
First Name
Tamera
Middle Name
S.
Credential
PNP
Provider Other Last Name
Suzanne
Provider Other First Name
Tamera
Provider Other Middle Name
S.
Provider Other Credential Text
PNP
Provider Other Last Name Type Code
2
Mailing Street Address
300 West Ave
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1118
Mailing Country
US
Mailing Phone
(585) 637-3905
Mailing Fax
(585) 637-4990
Practice Street Address
20 Elm St
Practice Address Line 2
Lower Level
Practice City
Hornell
Practice State
NY
Practice ZIP Code
14843-1933
Practice Country
US
Practice Phone
(607) 590-2424
Practice Fax
(607) 590-2428
Enumeration Date
August 25, 2008
Last Updated
March 02, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Nurse Practitioner (363LP0200X), Pediatric Clinical Nurse Specialist (364SP0200X)