Provider Demographics
NPI:1972879849
Name:SUAREZ, EVELYN R (LPN)
Entity type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:R
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 HILL COURT CIRCLE
Mailing Address - Street 2:APT.D
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621
Mailing Address - Country:US
Mailing Address - Phone:585-201-6661
Mailing Address - Fax:
Practice Address - Street 1:69 HILL COURT CIR
Practice Address - Street 2:APT. D
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-1197
Practice Address - Country:US
Practice Address - Phone:585-201-6661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271071164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse