Provider Demographics
NPI:1780263665
Name:MAYE, SUZANNE (APRN)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:MAYE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 WINDMEADOWS BLVD APT E60
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-0426
Mailing Address - Country:US
Mailing Address - Phone:352-989-0159
Mailing Address - Fax:
Practice Address - Street 1:2498 STEVENS CREEK BLVD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1652
Practice Address - Country:US
Practice Address - Phone:408-998-5400
Practice Address - Fax:408-998-5414
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM67626363L00000X
CA95021845363LF0000X
FLAPRN11009198363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily