Individual
MRS. SUSAN C TELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
FRESNO & R STREET, FRESNO, CA 93721
(559) 459-6000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA2880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA0028800
BLUE SHIELD OF GA
CA
05
—
RN6046400
—
CA
Enumeration date
05/09/2007
Last updated
07/14/2009
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