Salem, Suzanne Rae

Salem, Suzanne Rae is an individual health care provider with primary practice located at 601 W Mingus Ave , Cottonwood AZ 86326. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Salem, Suzanne Rae can be contacted via phone (928) 649-3805.

Contact Information

Primary practice address
601 W Mingus Ave Cottonwood AZ 86326
Phone: (928) 649-3805
Fax: (928) 649-5843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN034491 Arizona

Profile Details

NPI number 1467472829
LBN Legal business name Salem, Suzanne Rae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Dec 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 1467472829 NPPES
Arizona MEDICAID 433871

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