Provider Demographics
NPI:1396927463
Name:ENDRIGA, SUZANNE SENNETT (CNM)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:SENNETT
Last Name:ENDRIGA
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 BILBY RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4174
Mailing Address - Country:US
Mailing Address - Phone:908-813-8877
Mailing Address - Fax:908-813-9984
Practice Address - Street 1:108 BILBY RD
Practice Address - Street 2:SUITE 305
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4174
Practice Address - Country:US
Practice Address - Phone:908-813-8877
Practice Address - Fax:908-813-9984
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00044801367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife