Individual provider · Type 1 NPI

Susana McKeough, RN, FNP

Nurse Practitioner · San Rafael, CA

NPI number 1134527963 Active

Practice location

179 Acacia Avenue Room 100, Dominican University Student Health Center
San Rafael, CA 94901

Fax (415) 458-3755

Mailing address

50 Acacia Ave., Student Health Center - Dominican University
San Rafael, CA 94901

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X7901 (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 1134527963

Susana McKeough, RN, FNP's National Provider Identifier is 1134527963, issued on Dec 10, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Rafael, CA. The record was last updated on Dec 10, 2014.