Provider Demographics
NPI:1013126994
Name:ADAMS, SUZANNE PRIDDY (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:PRIDDY
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7731 CLUB LAKE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2621
Mailing Address - Country:US
Mailing Address - Phone:281-463-1871
Mailing Address - Fax:281-550-2914
Practice Address - Street 1:7731 CLUB LAKE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2621
Practice Address - Country:US
Practice Address - Phone:281-463-1871
Practice Address - Fax:281-550-2914
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX451779163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant