Provider Demographics
NPI:1649463084
Name:CAMERON, SUZAN ELIZABETH (DNP, APRN, NP-C)
Entity type:Individual
Prefix:DR
First Name:SUZAN
Middle Name:ELIZABETH
Last Name:CAMERON
Suffix:
Gender:F
Credentials:DNP, APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10813 PAISANO DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6178
Mailing Address - Country:US
Mailing Address - Phone:972-489-0455
Mailing Address - Fax:972-408-3440
Practice Address - Street 1:7548 PRESTON RD STE 141
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5689
Practice Address - Country:US
Practice Address - Phone:214-484-5072
Practice Address - Fax:972-408-3440
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX599865363LF0000X
TXAP115749363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily