Doctor Name: | SUSAN CHERYL BURNETT-HAMPSON |
NPI Number: | 1063619435 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 2216 |
Business Practice Address: | 821 Texas Ave Los Banos, CA - 936353453 |
Business Phone Number: | 2098261045 |
Business Fax Number: | 2098260952 |
Mailing Address: | 737 West Childs Avenue, MERCED |
State: | CA |
Postal Code: | 953406805 |
Phone Number: | 2093831848 |
Fax Number: | 2093843966 |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 2216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |