Healthcare Provider Details

I. General information

NPI: 1811215098
Provider Name (Legal Business Name): SUZANNE FRENCH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUZANNE MCCOOL RN

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 05/18/2016
Certification Date:
Deactivation Date: 04/30/2010
Reactivation Date: 05/12/2010

III. Provider practice location address

4910 MASSACHUSETTS AVE NW SUITE 308
WASHINGTON DC
20016-4300
US

IV. Provider business mailing address

4910 MASSACHUSETTS AVE NW STE 308
WASHINGTON DC
20016-4382
US

V. Phone/Fax

Practice location:
  • Phone: 202-695-1000
  • Fax:
Mailing address:
  • Phone: 202-657-2432
  • Fax: 202-503-1791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN65755
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: