Provider Demographics
NPI:1427670272
Name:WASHINGTON, SUZETTE MELANIE (APN)
Entity type:Individual
Prefix:
First Name:SUZETTE
Middle Name:MELANIE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 SANDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-1659
Mailing Address - Country:US
Mailing Address - Phone:609-906-0751
Mailing Address - Fax:
Practice Address - Street 1:35 SANDSTONE DR
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-1659
Practice Address - Country:US
Practice Address - Phone:609-906-0751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-15
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01034100363L00000X, 363LA2100X
CT13601363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner