Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Suzanne Renee Tambasco, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1417500786

Dr. Suzanne Renee Tambasco, NP is a Psychiatric/Mental Health Nurse Practitioner in Fayetteville, Georgia. Licensed in Arizona, Colorado, Florida and Georgia and 4 more. Registered with an NPI since 2019.

Licensed in
AZ, CO, FL, GA, NM, OR
In the registry since
2019
Specialties on file
8
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

210 Trilith Pkwy
Fayetteville, GA 30214-4616
Phone: (770) 309-5891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CNP-63745 (NM)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 155955 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 259122 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 24185688 (VA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 114662 (WV)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 11022333 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 0002821 (CO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 202102650 (OR)

Record details

NPI number1417500786
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 16, 2019
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023

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