NPI 1619075629

Suzette Jessie Burrous, FNPRNCNM

Practitioner Advanced Practice Midwife San Rafael, CA

Practice location

Address: 3260 Kerner Blvd, San Rafael, CA 94901-4861
Phone: (415) 473-4024
Fax: (415) 507-2634
Mailing address: 3260 Kerner Blvd, San Rafael, CA 94901

Registered specialties (3)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 839 (CA)

Other Advanced Practice Midwife providers in California →

Ambulatory Women's Health Care Registered Nurse

Nursing Service Providers Taxonomy 163WW0101X Licence 462096 (CA)

Other Registered Nurse providers in California →

Women's Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LW0102X Licence 9705 (CA)

Other Nurse Practitioner providers in California →

Registry record

NPI: 1619075629
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2006
Record last updated: 24 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.