Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | Q9083 | TX |
Y | 2080P0204X | Pediatric Emergency Doctor | 311715 | LA |
NPI | 1073856126 |
---|---|
Provider Name | Dr. Anna Suessman |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 09/05/2019 |