Provider Demographics
NPI:1467755363
Name:HELLERUDE-BORCHARDT, SUSAN M (APNP)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:M
Last Name:HELLERUDE-BORCHARDT
Suffix:
Gender:F
Credentials:APNP
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Mailing Address - Street 1:1 CALIFORNIA ST STE 2300
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-5424
Mailing Address - Country:US
Mailing Address - Phone:800-997-6196
Mailing Address - Fax:415-504-1367
Practice Address - Street 1:1 CALIFORNIA ST STE 2300
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-5424
Practice Address - Country:US
Practice Address - Phone:800-997-6196
Practice Address - Fax:415-504-1367
Is Sole Proprietor?:No
Enumeration Date:2010-12-15
Last Update Date:2023-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN8289363LF0000X
WI4283-33363LF0000X
NM61849363LF0000X
RIAPRN02750363LF0000X
WAAP60769921363LF0000X
WY47311363LF0000X
FLTPAN226363LF0000X
IAA129600363LF0000X
NDR50849363LF0000X
DCRN1036099363LF0000X
COC-APN.0002447-C-NP363LF0000X
TX1051889363LF0000X
AZAP7561363LF0000X
NH084276-23363LF0000X
CA95002035363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI4283-33OtherSTATE LICENSE #