Susan Jean Klarquist in Fort Bragg - Nurse Practitioner
Susan Jean Klarquist - NPI 1356465819
Susan Jean Klarquist is a Nurse Practitioner in Fort Bragg, California. Susan Jean Klarquist practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan Jean Klarquist is 1356465819. The last update date is 2007-07-08.
Susan Jean Klarquist's current location address is 205 South St, Fort Bragg, California. You can contact this provider via phone number 7079641251 and fax number 7079612722. The mailing address for Susan Jean Klarquist is 205 South St, Fort Bragg, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Jean Klarquist |
|---|---|
| Address | 205 South St, Fort Bragg, California |
| Phone Number | 7079641251 |
| Fax Number | 7079612722 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1356465819 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 205 South St |
|---|---|
| City | Fort Bragg |
| State | California (CA) |
| Post Code | 954375540 |
| Phone Number | 7079641251 |
| Fax Number | 7079612722 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 15463 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC03967F | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Jean Klarquist by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Jean Klarquist has been assigned the NPI (National Provider Identifier) 1356465819. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Susan Jean Klarquist?
The Susan Jean Klarquist is situated at 205 South St, in the city of Fort Bragg, state of CA, with the zip code 954375540.
What is the Susan Jean Klarquist's specialty and taxonomy code?
The Susan Jean Klarquist's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
When did Susan Jean Klarquist receive its 1356465819 assignment?
The Susan Jean Klarquist was assigned its 1356465819 on 2007-03-19, which is the date when this unique identifier was issued to the organization.
When was the information related to Susan Jean Klarquist most recently updated or refreshed?
The details pertaining to the Susan Jean Klarquist, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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