Staats-Puffer, Suzanne

Staats-Puffer, Suzanne is an individual health care provider with primary practice located at 1600 Broad Ave , Gulfport MS 39501-3603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Staats-Puffer, Suzanne can be contacted via phone (228) 863-1132.

Contact Information

Primary practice address
1600 Broad Ave Gulfport MS 39501-3603
Phone: (228) 863-1132
Fax: (228) 865-1700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R741154 Mississippi

Profile Details

NPI number 1508835349
LBN Legal business name Staats-Puffer, Suzanne
Credentials CFNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Aug 29th, 2019 - about 7 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 1508835349 NPPES
Mississippi MEDICAID 00110703

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