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Individual
MRS. SUSAN L MOFFATT
Active
Individual
MRS. SUSAN L MOFFATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
333036
CA
363LF0000X
Family Nurse Practitioner
Primary
6257
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
333036
RN NP #
CA
Enumeration date
10/04/2005
Last updated
07/21/2022
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