Provider Demographics
NPI:1497355010
Name:ARENDT, SUZANNE ARLENE (RN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:ARLENE
Last Name:ARENDT
Suffix:
Gender:F
Credentials:RN, FNP-BC
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Other - First Name:
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Mailing Address - Street 1:28926 MIDDLE CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:DOWAGIAC
Mailing Address - State:MI
Mailing Address - Zip Code:49047-9266
Mailing Address - Country:US
Mailing Address - Phone:269-782-5044
Mailing Address - Fax:
Practice Address - Street 1:1234 NAPIER AVE
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-2112
Practice Address - Country:US
Practice Address - Phone:269-983-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-01
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704223797163WC0400X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0400XNursing Service ProvidersRegistered NurseCase Management