Provider Demographics
NPI:1184876161
Name:STROH, SUZANNE E (RNP)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:E
Last Name:STROH
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 N MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:STUTTGART
Mailing Address - State:AR
Mailing Address - Zip Code:72160-3274
Mailing Address - Country:US
Mailing Address - Phone:870-673-7211
Mailing Address - Fax:870-674-6288
Practice Address - Street 1:1919 W 12TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-4551
Practice Address - Country:US
Practice Address - Phone:501-364-3620
Practice Address - Fax:501-364-3994
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP00606163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse