Provider Demographics
NPI:1417165622
Name:RIGG, SUZANNE JH (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:JH
Last Name:RIGG
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1707
Mailing Address - Street 2:
Mailing Address - City:SAG HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11963-0062
Mailing Address - Country:US
Mailing Address - Phone:631-725-1187
Mailing Address - Fax:631-329-3357
Practice Address - Street 1:200 PANTIGO PL
Practice Address - Street 2:SUITE F
Practice Address - City:EAST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11937-5920
Practice Address - Country:US
Practice Address - Phone:631-329-9300
Practice Address - Fax:631-329-3357
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333571-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily