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Contact Information

SUSANA MCKEOUGH, RN, FNP
179 ACACIA AVENUE ROOM 100
DOMINICAN UNIVERSITY STUDENT HEALTH CENTER
SAN RAFAEL, CA94901
 Phone: 415-485-3208
 Fax: 415-458-3755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUSANA MCKEOUGH · (Female)

NPI # 1134527963
Status Active
Credentials RN, FNP
Entity Individual
Enumeration date 12/10/2014
Last updated 12/10/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 7901
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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