Provider Demographics
NPI:1124360169
Name:SCHUSS, CHARLEEN (RN, NP)
Entity Type:Individual
Prefix:MRS
First Name:CHARLEEN
Middle Name:
Last Name:SCHUSS
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 ANACAPA AVE
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-4401
Mailing Address - Country:US
Mailing Address - Phone:805-984-1947
Mailing Address - Fax:
Practice Address - Street 1:136 ANACAPA AVE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93035-4401
Practice Address - Country:US
Practice Address - Phone:805-984-1947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-16
Last Update Date:2013-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA200002163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator