Provider Demographics
NPI:1962779058
Name:ORZECHOWSKI, SUZETTE MARIE (APRN)
Entity type:Individual
Prefix:MRS
First Name:SUZETTE
Middle Name:MARIE
Last Name:ORZECHOWSKI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:SUZETTE
Other - Middle Name:MARIE
Other - Last Name:HEPLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:72 FARMSTEAD LN
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-1841
Mailing Address - Country:US
Mailing Address - Phone:860-614-4244
Mailing Address - Fax:
Practice Address - Street 1:9900 BREN RD E
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-9664
Practice Address - Country:US
Practice Address - Phone:860-586-7825
Practice Address - Fax:860-586-7827
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004870363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health