Healthcare Provider Details

I. General information

NPI: 1124543681
Provider Name (Legal Business Name): SUZANNE RENEE BRIGGS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2017
Last Update Date: 08/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5010 O ST
LINCOLN NE
68510-1951
US

IV. Provider business mailing address

2883 FLETCHER RD
SEWARD NE
68434-7548
US

V. Phone/Fax

Practice location:
  • Phone: 800-253-4368
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06171629
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1989
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: