Provider Demographics
NPI:1629236088
Name:CUNNIFF, SUZANNE (CFA)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:
Last Name:CUNNIFF
Suffix:
Gender:F
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 JEFFERSON PARK AVE
Mailing Address - Street 2:APT 8
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-3554
Mailing Address - Country:US
Mailing Address - Phone:434-973-0281
Mailing Address - Fax:
Practice Address - Street 1:1800 JEFFERSON PARK AVE
Practice Address - Street 2:APT 8
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-3554
Practice Address - Country:US
Practice Address - Phone:434-973-0281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-01
Last Update Date:2008-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO103391246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist