Provider Demographics
NPI:1093778581
Name:LAREAU, SUZANNE CLAIRE (RN, CNS)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:CLAIRE
Last Name:LAREAU
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Gender:F
Credentials:RN, CNS
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Mailing Address - Street 1:13308 SILVER PEAK PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-8263
Mailing Address - Country:US
Mailing Address - Phone:505-265-1711
Mailing Address - Fax:505-256-5751
Practice Address - Street 1:1501 SAN PEDRO DR SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-5153
Practice Address - Country:US
Practice Address - Phone:505-265-1711
Practice Address - Fax:505-256-5751
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CA733364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist