Provider Demographics
NPI:1578007910
Name:CHUNN, SUZANNE (LVN)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:CHUNN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:RENEE
Other - Last Name:CHUNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LVN
Mailing Address - Street 1:13267 EXXON RD
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-4591
Mailing Address - Country:US
Mailing Address - Phone:713-940-7252
Mailing Address - Fax:
Practice Address - Street 1:13267 EXXON RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-4591
Practice Address - Country:US
Practice Address - Phone:713-940-7252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-04
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320384164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse