Provider Demographics
NPI:1396950606
Name:CHOINIERE, SUZANNE J (MSN, RNC)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:J
Last Name:CHOINIERE
Suffix:
Gender:F
Credentials:MSN, RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4524
Mailing Address - Country:US
Mailing Address - Phone:937-434-2552
Mailing Address - Fax:937-341-8428
Practice Address - Street 1:1 WYOMING ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2722
Practice Address - Country:US
Practice Address - Phone:937-208-2563
Practice Address - Fax:937-341-8428
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH111852163WX0003X
OHNS-03002163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient