MEDICARE: SUZANNE WINDOUS FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	839275	NV

General Provider Information

NPI Number	:	1003401456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE WINDOUS FNP-BC

Provider Business Mailing Address
First Line	:	2078 IDAHO ST
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89801-2627
Country	:	US
Telephone Number	:	775-738-1100
Fax Number	:	775-738-1101

Provider Business Practice Location Address
First Line	:	2078 IDAHO ST
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89801-2627
Country	:	US
Telephone Number	:	775-738-1100
Fax Number	:	775-738-1101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2021
Last Update Date	:	04/28/2025

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Directions to “ SUZANNE WINDOUS FNP-BC” Practice Location

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