Individual
SUSAN EILEEN MORENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10735 ORANGE PARK BLVD, ORANGE, CA 92869-1623
(714) 538-4036
(714) 538-5226
Mailing address
10735 ORANGE PARK BLVD, ORANGE, CA 92869-1623
(714) 538-4036
(714) 538-5226
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA35787
NATIONAL LICENSE
—
01
—
NA775
LICENSE
CA
Enumeration date
01/13/2007
Last updated
07/08/2007
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