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SURANI HAYRE-KWAN FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1134135924

Individual Registrant:
 SURANI  HAYRE-KWAN FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
16319 THIRD STREET  GUERNEVILLE, CA 95446 US
Tel: 707-869-2849  Fax: 707-869-1477

Contact information for business:
PO BOX 1449  GUERNEVILLE, CA 95446-1449 US
Tel: 707-869-5977  Fax: 707-869-5983

Registration Information:
NPI: 1134135924
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CANP504240

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE PART BZZZ73222Z01
1356344758CA05
STATE LICENSE NUMBERNP504240CA01




HEALTH CARE JOBS CA - Page 1



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