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SUSAN S ANDERSON NP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1528116431
Individual Registrant: SUSAN S ANDERSON NP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1011 BALDWIN PARK BLVD BALDWIN PARK, CA 91706-5806 US
Tel: 626-851-1011 Fax: --
Tel: 626-851-1011 Fax: --
Contact information for business:
1011 BALDWIN PARK BLVD BALDWIN PARK, CA 91706-5806 US
Tel: 626-851-1011 Fax: --
Tel: 626-851-1011 Fax: --
Registration Information:
NPI: 1528116431
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 | NP11584 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
