Individual provider · Type 1 NPI
Susan Henry, NP
Adult Health Nurse Practitioner · La Jolla, CA
NPI number
1477795755
Active
Practice location
9834 Genesee Ave, Suite Number: 400
La Jolla, CA 92037-1223
Mailing address
9834 Genesee Avenue, Suite Number: 400
La Jolla, CA 92037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 18151 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1477795755
Susan Henry, NP's National Provider Identifier is 1477795755, issued on Apr 1, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in La Jolla, CA. The record was last updated on Apr 1, 2009.