Decruz, Suzzunne Nicole

Decruz, Suzzunne Nicole is an sole proprietor health care provider with primary practice located at 240 Indian River Road A5, Orange CT 06477. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Decruz, Suzzunne Nicole can be contacted via phone (203) 799-1252.

Contact Information

Primary practice address
240 Indian River Road A5 Orange CT 06477
Phone: (203) 799-1252
Fax: (203) 799-3252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001433 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001433 Connecticut

Profile Details

NPI number 1033312244
LBN Legal business name Decruz, Suzzunne Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2007
Last updated May 27th, 2021 - about 3 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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