Wilson, Suzanne

Wilson, Suzanne is an individual health care provider with primary practice located at 404 North Cayuga St , Ithaca NY 14850-4219. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilson, Suzanne can be contacted via phone (607) 277-0969.

Contact Information

Primary practice address
404 North Cayuga St Ithaca NY 14850-4219
Fax: (607) 277-3242
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 416301-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336792 New York

Profile Details

NPI number 1578535779
LBN Legal business name Wilson, Suzanne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Aug 9th, 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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