Individual
MS. SUSANNAH S. EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
2356 SUTTER ST FL 6, SAN FRANCISCO, CA 94115-3006
(415) 353-2170
(415) 353-9551
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
13717
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00137170
—
CA
Enumeration date
08/05/2006
Last updated
06/16/2008
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