Provider Demographics
NPI:1750794335
Name:CRAVEN, SUZANNE (PA)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:CRAVEN
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Gender:F
Credentials:PA
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Mailing Address - Street 1:115 KILDAIRE PARK DR STE 406
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8144
Mailing Address - Country:US
Mailing Address - Phone:919-283-1099
Mailing Address - Fax:984-220-9248
Practice Address - Street 1:115 KILDAIRE PARK DR STE 406
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8144
Practice Address - Country:US
Practice Address - Phone:919-283-1099
Practice Address - Fax:984-220-9248
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2024-02-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical