Individual provider · Type 1 NPI
Suely Suzana Santos
Nurse Practitioner · San Diego, CA
Practice location
13111 Avenida Grande
San Diego, CA 92129-2908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95012911 (CA) |
Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1114871506
Suely Suzana Santos's National Provider Identifier is 1114871506, issued on Feb 24, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Diego, CA. The record was last updated on Feb 24, 2026.