Provider Demographics
NPI:1154912251
Name:SUAREZ, ELIZABETH AMBROS (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:AMBROS
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:6625 LENOX PARK DR STE 202
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-8200
Mailing Address - Country:US
Mailing Address - Phone:901-683-0024
Mailing Address - Fax:901-683-0086
Practice Address - Street 1:6063 MT. MORIAH EXT. SUITE 100
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-2644
Practice Address - Country:US
Practice Address - Phone:901-531-8800
Practice Address - Fax:901-531-8801
Is Sole Proprietor?:No
Enumeration Date:2021-02-01
Last Update Date:2024-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN4445363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant