Individual provider · Type 1 NPI
Suzanne Renee Tambasco, NP
Psychiatric/Mental Health Nurse Practitioner · Fayetteville, GA
NPI number
1417500786
Active
Practice location
210 Trilith Pkwy
Fayetteville, GA 30214-4616
Mailing address
2870 Peachtree Rd NW
Atlanta, GA 30305-2918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 155955 (GA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 259122 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 24185688 (VA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 114662 (WV) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11022333 (FL) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0002821 (CO) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202102650 (OR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | CNP-63745 (NM) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1417500786
Suzanne Renee Tambasco, NP's National Provider Identifier is 1417500786, issued on Jul 16, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fayetteville, GA. The record was last updated on Jul 12, 2023.