Provider Demographics
NPI:1568766871
Name:ALLPHIN, SUZANNE H (CRNA)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:H
Last Name:ALLPHIN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:HARRINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:46 FRENCH CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-5272
Mailing Address - Country:US
Mailing Address - Phone:801-231-5646
Mailing Address - Fax:
Practice Address - Street 1:46 FRENCH CREEK DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5272
Practice Address - Country:US
Practice Address - Phone:801-231-5646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX792779367500000X
NY700328367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8968UAOtherBCBS
TXP00957263OtherRAILROAD
TX220092501Medicaid
TXP00957263OtherRAILROAD