Provider Demographics
NPI:1356119242
Name:HELD, SUZANNE MARISSA (RN, CBS)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:MARISSA
Last Name:HELD
Suffix:
Gender:F
Credentials:RN, CBS
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:MARISSA
Other - Last Name:GOLDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:48 PALMER ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06907-2034
Mailing Address - Country:US
Mailing Address - Phone:203-715-6333
Mailing Address - Fax:
Practice Address - Street 1:48 PALMER ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06907-2034
Practice Address - Country:US
Practice Address - Phone:203-715-6333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT116479163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant