Susan Marie Tiso is a Family in Costa Mesa, California. Susan Marie Tiso practices all healthcare services and medical treatments related to Family. The NPI Number for Susan Marie Tiso is 1336259126. The last update date is 2013-04-08.
Susan Marie Tiso's current location address is 1550 Superior Ave, Costa Mesa, California. You can contact this provider via phone number 9492702100 and fax number 9496506976. The mailing address for Susan Marie Tiso is 1550 Superior Ave, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Marie Tiso |
|---|---|
| Address | 1550 Superior Ave, Costa Mesa, California |
| Phone Number | 9492702100 |
| Fax Number | 9496506976 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1336259126 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2013-04-08 |
Provider Mailing Address Detail
| Address | 1550 Superior Ave |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 926273653 |
| Phone Number | 9492702100 |
| Fax Number | 9496506976 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 315960 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Marie Tiso?
The Susan Marie Tiso has been issued the NPI (National Provider Identifier) 1336259126 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Susan Marie Tiso is geographically located?
The Susan Marie Tiso is physically situated at the following location: 1550 Superior Ave, Costa Mesa, CA, 926273653.
What is Susan Marie Tiso's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Marie Tiso's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336259126 to Susan Marie Tiso?
The Susan Marie Tiso received its 1336259126 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information regarding Susan Marie Tiso most recently updated?
The details pertaining to the Susan Marie Tiso, including its address, specialty, and other relevant information, were last refreshed on 2013-04-08.