Provider Demographics
NPI:1811966427
Name:STOLTZNER, SUZANNE FEIL (ARNP)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:FEIL
Last Name:STOLTZNER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:SUZANNE
Other - Middle Name:FEIL
Other - Last Name:STOLTZNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2122 10TH ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-3412
Mailing Address - Country:US
Mailing Address - Phone:941-539-3919
Mailing Address - Fax:
Practice Address - Street 1:2122 10TH ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-3412
Practice Address - Country:US
Practice Address - Phone:941-539-3919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1641652367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018895OtherRECERTIFICATION
FLG0465Medicare ID - Type Unspecified
FL018895OtherRECERTIFICATION