Provider Demographics
NPI:1275746216
Name:REUSCHEL, SUZETTE MONIQUE (DNP, WHNP, RNC)
Entity Type:Individual
Prefix:DR
First Name:SUZETTE
Middle Name:MONIQUE
Last Name:REUSCHEL
Suffix:
Gender:F
Credentials:DNP, WHNP, RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13953 STAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-6573
Mailing Address - Country:US
Mailing Address - Phone:720-838-5521
Mailing Address - Fax:
Practice Address - Street 1:13953 STAR CREEK DR
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-6573
Practice Address - Country:US
Practice Address - Phone:720-838-5521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO168866163W00000X, 363L00000X
CO5091363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health