Suzanne Tan Maye Nurse Practitioner LLC
Nurse Practitioner in Gainesville, FL. Organization (NPI-2).
NPI number1194482729
StatusActive
Last updated in NPPESMay 24, 2022
Details
- NPI
- 1194482729
- Entity type
- Organization (NPI-2)
- Legal business name
- Suzanne Tan Maye Nurse Practitioner LLC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2021
- Certification date
- May 24, 2022
- Last updated
- May 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
3700 Windmeadows Blvd Apt E60Gainesville, FL 32608-0426
Phone 352-989-0159
Mailing address
3700 Windmeadows Blvd Apt E60Gainesville, FL 32608-0426
Authorized official
Suzanne Maye
Owner
3529890159
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