Provider Demographics
NPI:1356641336
Name:ARRAZOLO, SUSETTE (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SUSETTE
Middle Name:
Last Name:ARRAZOLO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12340 JONES RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4863
Mailing Address - Country:US
Mailing Address - Phone:713-873-5248
Mailing Address - Fax:713-873-5262
Practice Address - Street 1:12340 JONES RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4863
Practice Address - Country:US
Practice Address - Phone:713-873-5248
Practice Address - Fax:713-873-5262
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX638510363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily