Provider Demographics
NPI:1508100512
Name:WEIS, SUZAN MARGERY (ARNP-C)
Entity Type:Individual
Prefix:MS
First Name:SUZAN
Middle Name:MARGERY
Last Name:WEIS
Suffix:
Gender:F
Credentials:ARNP-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:460 E ALTAMONTE DR
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4612
Mailing Address - Country:US
Mailing Address - Phone:407-767-0009
Mailing Address - Fax:407-767-0022
Practice Address - Street 1:460 E ALTAMONTE DR
Practice Address - Street 2:SUITE 2200
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4612
Practice Address - Country:US
Practice Address - Phone:407-767-0009
Practice Address - Fax:407-767-0022
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL646612363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health