Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | NN10601300 | NJ |
NPI | 1013054436 |
---|---|
Provider Name | Suzanne M Hess |
First Address | Livingston, NJ 07039-4802 |
Second Address | Livingston, NJ 07039-4802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 16/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S96440 | (02) | NJ |