SUZANNE RENEE TAMBASCO

FAYETTEVILLE, GA
NPI1417500786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NM  CNP-63745)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  155955)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  259122)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  24185688)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WV  114662)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  11022333)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO  0002821)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  202102650)
Enumeration Date2019-07-16
Last Update Date2023-07-12
Business Address
Dr. SUZANNE RENEE TAMBASCO NP
210 TRILITH PKWY
FAYETTEVILLE, GA 30214-4616
Phone number: 770-309-5891
Mailing Address
Dr. SUZANNE RENEE TAMBASCO NP
2870 PEACHTREE RD NW
ATLANTA, GA 30305-2918
Phone number: 770-309-5891