Susana Ertac in Newport Beach - Nurse Practitioner
Susana Ertac - NPI 1265547335
Susana Ertac is a Nurse Practitioner in Newport Beach, California. Susana Ertac practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susana Ertac is 1265547335. The last update date is 2007-07-08.
Susana Ertac's current location address is 2431 Port Whitby Pl, Newport Beach, California. You can contact this provider via phone number 9497062958 and fax number 7147444167. The mailing address for Susana Ertac is 2431 Port Whitby Pl, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susana Ertac |
|---|---|
| Address | 2431 Port Whitby Pl, Newport Beach, California |
| Phone Number | 9497062958 |
| Fax Number | 7147444167 |
| Sole Proprietor | N |
| Credentials | RN, NP |
NPI Number Detail
| NPI Number | 1265547335 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2431 Port Whitby Pl |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926605435 |
| Phone Number | 9497062958 |
| Fax Number | 7147444167 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 9601 |
|
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 |
|---|---|---|---|
| 537812 | CA | REGISTERED NURSE LIC | |
| 9601 | CA | NURSE PRACTITIONER LIC |
Post Comment/ Review Below
What is the Susana Ertac's 1265547335?
The Susana Ertac's NPI (National Provider Identifier) Number is 1265547335. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Susana Ertac is geographically located?
The Susana Ertac is physically situated at the following location: 2431 Port Whitby Pl, Newport Beach, CA, 926605435.
What is the Susana Ertac's area of specialization and corresponding taxonomy classification?
The Susana Ertac's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Susana Ertac receive its 1265547335 assignment from the Centers for Medicare & Medicaid Services?
The Susana Ertac was assigned its 1265547335 by the Centers for Medicare & Medicaid Services on 2006-08-20.
As of what date was the information pertaining to Susana Ertac, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susana Ertac, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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