Alton, Suzanne Elizabeth Waritz

Alton, Suzanne Elizabeth Waritz is an individual health care provider with primary practice located at 2240 Gulf Fwy S , League City TX 77573-5143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alton, Suzanne Elizabeth Waritz can be contacted via phone (832) 505-1234.

Contact Information

Primary practice address
2240 Gulf Fwy S League City TX 77573-5143
Phone: (832) 505-1234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 685994 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP111716 Texas

Profile Details

NPI number 1821064262
LBN Legal business name Alton, Suzanne Elizabeth Waritz
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2006
Last updated Feb 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821064262 NPPES
Texas MEDICAID 153615301

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