Provider Demographics
NPI:1720377914
Name:COLEMAN, SUZANNE KRISTINE (DNP, FNP-BC, ENP-BC)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:KRISTINE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:DNP, FNP-BC, ENP-BC
Other - Prefix:MS
Other - First Name:SUZANNE
Other - Middle Name:KRISTINE
Other - Last Name:SHILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:37595 7 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1487
Mailing Address - Country:US
Mailing Address - Phone:734-542-6100
Mailing Address - Fax:
Practice Address - Street 1:37595 7 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1487
Practice Address - Country:US
Practice Address - Phone:734-542-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704200789363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily