Healthcare Provider Details

I. General information

NPI: 1639101686
Provider Name (Legal Business Name): SUZEE A. TAYLOR CNM, A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 HODGES DRIVE
TALLAHASSEE FL
32308-4646
US

IV. Provider business mailing address

1219 HODGES DRIVE
TALLAHASSEE FL
32308-4646
US

V. Phone/Fax

Practice location:
  • Phone: 850-877-5767
  • Fax: 850-877-5055
Mailing address:
  • Phone: 850-877-5767
  • Fax: 850-877-5055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberARNP 739722
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP 739722
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: