Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUZANNE RENEE TAMBASCO, NP
ActiveDR. SUZANNE RENEE TAMBASCO, NP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in FAYETTEVILLE, Georgia. NPI 1417500786 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1417500786
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2019 (7.0442486564615 yrs)
- Last Updated
- Jul 12, 2023
- Licenses
-
155955 (GA)259122 (AZ)24185688 (VA)114662 (WV)11022333 (FL)
Practice Information
- Address
-
210 TRILITH PKWYFAYETTEVILLE, GA, 302144616Browse GA providers · Browse ZIP 30214
- Phone
- 7703095891
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| OMOLOLA OTUBAGA | NP | 1033595566 |
| CARLA ANN ALEXANDER | PMHNP-BC | 1770070120 |
| MRS. STACEY LASANDRA MITCHELL | NP | 1245794387 |
| MRS. CHARITY NIKOLE ROSEBERRY | PMHNP-BC | 1710530134 |
| MR. ANTHONY JAMES HALL | APRN | 1558904169 |
| FATIMAT OLUMAYOWA OLUFUNMILAYO AGBOJEYIN | — | 1477189157 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.