Doctor Name: | SUSAN LAUNA WEEKS |
NPI Number: | 1023149010 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | NP13388 |
Business Practice Address: | 26520 Cactus Ave Moreno Valley, CA - 925553927 |
Business Phone Number: | 9514865162 |
Business Fax Number: | 8188435224 |
Mailing Address: | 14751 Gail Park Ln, POWAY |
State: | CA |
Postal Code: | 920642915 |
Phone Number: | 8584862010 |
Fax Number: | 8584862010 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 01/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP13388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |