National Provider Identifier
Suzanne Wilson, FNP
Suzanne Wilson, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 277-0969.
Profile Overview
- NPI
- 1578535779
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- February 02, 2006
- Last Updated
- August 09, 2011
Practice Location
- 404 North Cayuga St
- Ithaca, NY 14850-4219
Phone: (607) 277-0969
Mailing Address
- 404 North Cayuga Street
- Ithacamed
- Ithaca, NY 14850-4219
Specialties
- Family Nurse Practitioner (363LF0000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1578535779
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Suzanne
- Credential
- FNP
- Mailing Street Address
- 404 North Cayuga Street
- Mailing Address Line 2
- Ithacamed
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4219
- Mailing Country
- US
- Mailing Phone
- (607) 277-0969
- Mailing Fax
- (607) 277-3242
- Practice Street Address
- 404 North Cayuga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4219
- Practice Country
- US
- Practice Phone
- (607) 277-0969
- Practice Fax
- (607) 277-3242
- Enumeration Date
- February 02, 2006
- Last Updated
- August 09, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)