Individual
SUSAN E WERGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9900 TALBERT AVE, FOUNTAIN VALLEY, CA 92708-5153
(714) 965-2500
(714) 965-2593
Mailing address
48 BRISA FRESCA, RANCHO SANTA MARGARITA, CA 92688-3325
(949) 858-6678
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301711
CA
Other
Enumeration date
09/01/2005
Last updated
06/10/2014
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