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MS. SUSAN HELEN AMENT RN MSN FNP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1821070012
Individual Registrant:MS. SUSAN HELEN AMENT RN MSN FNP
Gender: F
Gender: F
Location and contact information for practice:
1381 UNIVERSITY AVE HEALDSBURG, CA 95448-3314 US
Tel: 707-431-8234 Fax: 707-431-1427
Tel: 707-431-8234 Fax: 707-431-1427
Contact information for business:
1381 UNIVERSITY AVE HEALDSBURG, CA 95448-3314 US
Tel: 707-431-8234 Fax: 707-431-1427
Tel: 707-431-8234 Fax: 707-431-1427
Registration Information:
NPI: 1821070012
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | RN407066 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
