Individual provider · Type 1 NPI

Suzanne Marie Seballoz

Licensed Practical Nurse · Fort Carson, CO

NPI number 1407836307 Active

Practice location

Usa Meddac, Evans Army Community Hospital, 1650 Cochrean Circle, Attn: Credentials Office
Fort Carson, CO 80913-4604

Call (719) 526-7844 Map

Fax (719) 526-7984

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X12853 (CO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

13 other providers at this address

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About NPI 1407836307

Suzanne Marie Seballoz's National Provider Identifier is 1407836307, issued on Jan 18, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Carson, CO. The record was last updated on Jul 13, 2026.