Individual provider · Type 1 NPI

Vera Ellen Suppo, RN

Registered Nurse · Mesa, AZ

NPI number 1205077112 Active

Practice location

554 S Bellview
Mesa, AZ 85204-2504

Mailing address

18615 N Celis St
Maricopa, AZ 85238-5179

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN05067 (AZ)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1205077112

Vera Ellen Suppo, RN's National Provider Identifier is 1205077112, issued on Mar 23, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Mesa, AZ. The record was last updated on Mar 23, 2009.