Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 26NNO9715700 | NJ |
NPI | 1215192877 |
---|---|
Provider Name | Mrs. Suzanne Elizabeth Floyd |
First Address | New Brunswick, NJ 08901 |
Second Address | New Brunswick, NJ 08901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2008 |
Last Update Date | 01/12/2015 |