Individual provider · Type 1 NPI
Susan Mack Pike, PNP
Pediatric Nurse Practitioner · Stanford, CA
NPI number
1871688960
Active
Practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
2077 Touraine Ln
Half Moon Bay, CA 94019-1444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | NP 4079 (CA) |
| Nurse Practitioner | 363L00000X | NPF 4079 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1871688960
Susan Mack Pike, PNP's National Provider Identifier is 1871688960, issued on Oct 4, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Stanford, CA. The record was last updated on Aug 3, 2016.