Elmendorf, Suellen

Elmendorf, Suellen is an sole proprietor health care provider with primary practice located at 230 Crispell Rd , Olivebridge NY 12461-5446. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Elmendorf, Suellen can be contacted via phone (845) 657-6532.

Contact Information

Primary practice address
230 Crispell Rd Olivebridge NY 12461-5446
Phone: (845) 657-6532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336062-1 New York
Nursing Service Providers / Registered Nurse 163W00000X 345540 New York

Profile Details

NPI number 1851617880
LBN Legal business name Elmendorf, Suellen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2010
Last updated Nov 10th, 2011 - about 13 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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