Anderson, Suzette

Anderson, Suzette is an sole proprietor health care provider with primary practice located at Dr. Shafquat Meraj Mdpa 1015 Prince Frederick Blvd., Prince Frederick MD 20678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Anderson, Suzette can be contacted via phone (410) 535-4116.

Contact Information

Primary practice address
Dr. Shafquat Meraj Mdpa 1015 Prince Frederick Blvd. Prince Frederick MD 20678
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R148987 Maryland

Profile Details

NPI number 1386258929
LBN Legal business name Anderson, Suzette
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2020
Last updated Jan 24th, 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 1386258929 NPPES
Maryland Other 1386258929 UROLOGY
Maryland MEDICAID 184189100 UROLOGY

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