Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 2017-00844 | NC |
NPI | 1023304235 |
---|---|
Provider Name | Suzanne Nicole Suprenant |
First Address | Asheville, NC 28803-1700 |
Second Address | Asheville, NC 28801-4601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2011 |
Last Update Date | 17/03/2018 |