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Contact Information

SUZETTE J BURROUS, FNP RN CNM
3260 KERNER BLVD
SAN RAFAEL, CA94901-4861
 Phone: 415-473-4024
 Fax: 415-507-2634
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Women's Health

363LW0102X 50 Nurse Practitioner
 

Women's Health Care, Ambulatory

163WW0101X
Indicates primary specialty

NPI Profile & details for SUZETTE J BURROUS · (Female)

NPI Number 1619075629
Status Active
Credentials FNP RN CNM
Entity Individual
Enumeration date 09/21/2006
Last updated 11/24/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 462096
  • CA License # 839
  • CA License # 9705
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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