Provider Demographics
NPI:1780230359
Name:SUEN, RIKKI MARIE (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:RIKKI
Middle Name:MARIE
Last Name:SUEN
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:RIKKI
Other - Middle Name:MARIE
Other - Last Name:WELLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2620 ELM HILL PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3108
Mailing Address - Country:US
Mailing Address - Phone:877-852-2677
Mailing Address - Fax:
Practice Address - Street 1:6417 COLUMBUS PIKE
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-9719
Practice Address - Country:US
Practice Address - Phone:740-201-6515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP025158363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily