Provider Demographics
NPI:1689075822
Name:WEEKS, SUSANNA VEE (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:SUSANNA
Middle Name:VEE
Last Name:WEEKS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 CURTISS RD
Mailing Address - Street 2:SUITE 100, OFFICE # 1087
Mailing Address - City:BARKSDALE AFB
Mailing Address - State:LA
Mailing Address - Zip Code:71110-2425
Mailing Address - Country:US
Mailing Address - Phone:318-456-6705
Mailing Address - Fax:318-456-1022
Practice Address - Street 1:243 CURTISS RD
Practice Address - Street 2:SUITE 100, OFFICE # 1087
Practice Address - City:BARKSDALE AFB
Practice Address - State:LA
Practice Address - Zip Code:71110-2425
Practice Address - Country:US
Practice Address - Phone:318-456-6705
Practice Address - Fax:318-456-1022
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA100643163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health