Healthcare Provider Details

I. General information

NPI: 1801391750
Provider Name (Legal Business Name): SUZANNE MARIE CLAUSEN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUZANNE MARIE RESIDORI

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8671 S QUEBEC ST STE 200
HIGHLANDS RANCH CO
80130-5861
US

IV. Provider business mailing address

8671 S QUEBEC ST STE 200
HIGHLANDS RANCH CO
80130-5861
US

V. Phone/Fax

Practice location:
  • Phone: 303-805-7477
  • Fax:
Mailing address:
  • Phone: 33-805-7477
  • Fax: 303-805-7478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0993276-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number993276
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: