Individual provider · Type 1 NPI
Susann Mischke, NP
Acute Care Nurse Practitioner · Santa Rosa, CA
NPI number
1366067449
Active
Practice location
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Mailing address
3030 Midway Dr
Santa Rosa, CA 95405-5170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95014135 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1366067449
Susann Mischke, NP's National Provider Identifier is 1366067449, issued on Jun 14, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Santa Rosa, CA. The record was last updated on Feb 4, 2021.