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Individual

MRS. SUZANNE RENE' CALCUTT

Active
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Individual

MRS. SUZANNE RENE' CALCUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC, PHN

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014219
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
557640
CALIFORNIA PUBLIC HEALTH NURSE
CA
01
—
729393
CALIFORNIA BOARD OF REGISTERED NURSING - RN LICENSE
CA
01
—
95014219
CALIFORNIA BRN - FAMILY NURSE PRACTITIONER
CA
01
—
NPF95014219
CALIFORNIA BRN - FNP FURNISHING NUMBER
CA
Enumeration date
06/13/2020
Last updated
09/24/2021
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