Provider Demographics
NPI:1598707903
Name:HARDING, SUZETTE (PA)
Entity Type:Individual
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First Name:SUZETTE
Middle Name:
Last Name:HARDING
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Gender:F
Credentials:PA
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Mailing Address - Street 1:4535 DRESSLER RD NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2545
Mailing Address - Country:US
Mailing Address - Phone:330-493-4443
Mailing Address - Fax:330-493-8677
Practice Address - Street 1:1800 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2329
Practice Address - Country:US
Practice Address - Phone:330-493-4443
Practice Address - Fax:330-493-8677
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2011-05-23
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Provider Licenses
StateLicense IDTaxonomies
NVPA953363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant