Basic Information
Provider Information
NPI: 1811215098
EntityType: 1
ReplacementNPI: 1811215098
OrganizationName:  
LastName: FRENCH
FirstName: SUZANNE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MCCOOL
OtherFirstName: SUZANNE
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: RN
OtherLastNameType: 1
Mailing Information
Address1: 4910 MASSACHUSETTS AVE NW
Address2: STE 308
City: WASHINGTON
State: DC
PostalCode: 200164382
CountryCode: US
TelephoneNumber: 2026572432
FaxNumber: 2025031791
Practice Location
Address1: 4910 MASSACHUSETTS AVE NW
Address2: SUITE 308
City: WASHINGTON
State: DC
PostalCode: 200164300
CountryCode: US
TelephoneNumber: 2026951000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/06/2008
LastUpdateDate: 05/18/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XRN65755DCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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