Provider Demographics
NPI:1588902811
Name:JUNEAU, SUZANNE ELAINE (RN)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:ELAINE
Last Name:JUNEAU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3506 ACACIA DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2815
Mailing Address - Country:US
Mailing Address - Phone:713-594-1759
Mailing Address - Fax:
Practice Address - Street 1:3506 ACACIA DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2815
Practice Address - Country:US
Practice Address - Phone:713-594-1759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-21
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX249419163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care