Provider Demographics
NPI:1437352705
Name:TORTORIELLO, SUZANNE (RN,NPC)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:
Last Name:TORTORIELLO
Suffix:
Gender:F
Credentials:RN,NPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 WARREN ST
Mailing Address - Street 2:1 ST FLOOR EAST WING
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-3535
Mailing Address - Country:US
Mailing Address - Phone:973-972-0974
Mailing Address - Fax:973-972-3832
Practice Address - Street 1:225 WARREN ST
Practice Address - Street 2:1 ST FLOOR EAST WING
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-3535
Practice Address - Country:US
Practice Address - Phone:973-972-0974
Practice Address - Fax:973-972-3832
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN04408200163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care