Provider Demographics
NPI:1376944587
Name:IROZ, SUSAN RENEE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:RENEE
Last Name:IROZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:600 S RANCHO DR STE 107
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4806
Mailing Address - Country:US
Mailing Address - Phone:702-878-8370
Mailing Address - Fax:702-898-9642
Practice Address - Street 1:600 S RANCHO DR STE 107
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4806
Practice Address - Country:US
Practice Address - Phone:702-878-8370
Practice Address - Fax:702-898-9642
Is Sole Proprietor?:No
Enumeration Date:2014-09-07
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001730363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily