Provider Demographics
NPI:1821070012
Name:AMENT, SUSAN HELEN (RN MSN FNP)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:HELEN
Last Name:AMENT
Suffix:
Gender:F
Credentials:RN MSN FNP
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Mailing Address - Street 1:1381 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:HEALDSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:95448-3314
Mailing Address - Country:US
Mailing Address - Phone:707-431-8234
Mailing Address - Fax:707-431-1427
Practice Address - Street 1:1381 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:HEALDSBURG
Practice Address - State:CA
Practice Address - Zip Code:95448-3314
Practice Address - Country:US
Practice Address - Phone:707-431-8234
Practice Address - Fax:707-431-1427
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARN407066363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner