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SUZANNE WILSON FNP
NPI 1578535779
Nurse Practitioner - Family in Ithaca, NY

Active since February 02, 2006
404 NORTH CAYUGA ST, ITHACA, NY 14850(607) 277-0969(607) 277-3242 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suzanne Wilson Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUZANNE WILSON FNP (NPI 1578535779) is an individual family provider in Ithaca, New York, licensed in New York (F336792) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1578535779
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUZANNE WILSONCredential: FNP
Location Address404 NORTH CAYUGA STIthaca, NY 14850-4219
Mailing Address404 North Cayuga Street, IthacamedIthaca, NY 14850-4219 · (607) 277-0969 · Fax (607) 277-3242
Phone(607) 277-0969
Fax(607) 277-3242
Sole ProprietorNo
Enumeration DateFebruary 2, 2006
Last NPPES UpdateAugust 9, 2011
✔ NPI 1578535779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F336792
Also ListedRegistered NurseTaxonomy 163W00000X · License 416301-1 (NY)
404 NORTH CAYUGA ST, Ithaca, NY 14850
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suzanne Wilson's NPI number?

The NPI number for Suzanne Wilson is 1578535779. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Suzanne Wilson located?

Suzanne Wilson practices at 404 North Cayuga St, Ithaca, NY 14850. The listed phone number is (607) 277-0969.

What is Suzanne Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Suzanne Wilson was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.