Mininger, Suzanne E
Mininger, Suzanne E is an individual health care provider with primary practice located at 1874 Se Port St Lucie Blvd , Port Saint Lucie FL 34952-5545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mininger, Suzanne E can be contacted via phone (772) 337-7676.Contact Information
Primary practice address
1874 Se Port St Lucie Blvd
Port Saint Lucie FL 34952-5545
Phone: (772) 337-7676
Fax: (772) 337-9034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | ARNP3059502 | Florida |
Profile Details
| NPI number | 1043243710 |
|---|---|
| LBN Legal business name | Mininger, Suzanne E |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Jun 8th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043243710 | NPPES |
| Other | G2122 | BLUE CROSS | |
| Other | 990011119 | BLUE CROSS | |
| MEDICAID | 302849600 | BLUE CROSS |
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