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NPI Code Detail

MEDICARE: SUZIE ALEXANDRA VIAUD FNP

MEDICARE: SUZIE ALEXANDRA VIAUD FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN141369AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01180021OTHERAZRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750672762
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZIE ALEXANDRA VIAUD FNP
Provider Business Mailing Address
First Line : 1090 COMMERCE DR
Second Line :
City : PRESCOTT
State : AZ
Zip : 86305-3700
Country : US
Telephone Number : 928-583-1000
Fax Number : 866-323-8458
Provider Business Practice Location Address
First Line : 1090 COMMERCE DR
Second Line :
City : PRESCOTT
State : AZ
Zip : 86305-3700
Country : US
Telephone Number : 928-583-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2011
Last Update Date : 06/02/2026

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Directions to “ SUZIE ALEXANDRA VIAUD FNP” Practice Location

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