Provider Demographics
NPI:1457507618
Name:ENRIGHT, SUSANNE LEE (RN)
Entity Type:Individual
Prefix:
First Name:SUSANNE
Middle Name:LEE
Last Name:ENRIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 WESTFALL RD
Mailing Address - Street 2:RM 183
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4647
Mailing Address - Country:US
Mailing Address - Phone:585-753-5601
Mailing Address - Fax:585-753-5181
Practice Address - Street 1:111 WESTFALL RD
Practice Address - Street 2:RM 183
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4647
Practice Address - Country:US
Practice Address - Phone:585-753-5601
Practice Address - Fax:585-753-5181
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY260540163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse