Cieslak, Suzanne Edwina

Cieslak, Suzanne Edwina is an individual health care provider with primary practice located at 2108 Texas Ave Ste 2061 , Alexandria LA 71301-3944. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cieslak, Suzanne Edwina can be contacted via phone (318) 448-1041.

Contact Information

Primary practice address
2108 Texas Ave Ste 2061 Alexandria LA 71301-3944
Phone: (318) 448-1041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN057280 AP01885 Louisiana

Profile Details

NPI number 1902994973
LBN Legal business name Cieslak, Suzanne Edwina
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Nov 6th, 2007 - about 17 years ago

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 1902994973 NPPES
Louisiana MEDICAID 1670375

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