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NPI Code Detail

MEDICARE: MS. SUZANNE ELIZABETH WARITZ ALTON N.P.

MEDICARE: MS. SUZANNE ELIZABETH WARITZ ALTON N.P.
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
1363LF0000XFamily Nurse Practitioner685994TX
2363LF0000XFamily Nurse PractitionerAP111716TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821064262
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUZANNE ELIZABETH WARITZ ALTON N.P.
Provider Business Mailing Address
First Line : PO BOX 650859
Second Line : DEPT 710
City : DALLAS
State : TX
Zip : 75265-5313
Country : US
Telephone Number : 409-772-2222
Fax Number :
Provider Business Practice Location Address
First Line : 2240 GULF FWY S
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-5143
Country : US
Telephone Number : 832-505-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2006
Last Update Date : 02/27/2023

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