Individual
MS. SUSAN MACK PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
2077 TOURAINE LN, HALF MOON BAY, CA 94019-1444
(650) 712-0452
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NPF 4079
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
NP 4079
CA
Other
Enumeration date
10/04/2006
Last updated
08/03/2016
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