Individual
SUZETTE JESSIE BURROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP RN CNM
Contact information
Practice address
3260 KERNER BLVD, SAN RAFAEL, CA 94901-4861
(415) 473-4024
(415) 507-2634
Mailing address
3260 KERNER BLVD, SAN RAFAEL, CA 94901
(415) 473-4024
(415) 507-2634
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
462096
CA
363LW0102X
Women's Health Nurse Practitioner
9705
CA
367A00000X
Advanced Practice Midwife
Primary
839
CA
Other
Enumeration date
09/21/2006
Last updated
11/24/2008
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