# SUZETTE JESSIE BURROUS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619075629
- **Gender:** F
- **Credential:** FNP RN CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | 462096 | CA | — |
| 363LW0102X | Women's Health Nurse Practitioner | 9705 | CA | — |
| 367A00000X | Advanced Practice Midwife | 839 | CA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 11/24/2008