MEDICARE: LINDA NATALIE SUAREZ NP-C

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	ARNP9357399	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F405620	NY
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	209029776	IL
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	12441	CT
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP9357399	FL

General Provider Information

NPI Number	:	1245781996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA NATALIE SUAREZ NP-C

Provider Business Mailing Address
First Line	:	430 NEW PARK AVE STE 102
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06110-1142
Country	:	US
Telephone Number	:	844-866-8336
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 NEW PARK AVE STE 102
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06110-1142
Country	:	US
Telephone Number	:	844-866-8336
Fax Number	:

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

Provider Enumeration Date	:	10/18/2016
Last Update Date	:	11/21/2024

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