Provider Demographics
NPI:1023149010
Name:WEEKS, SUSAN LAUNA (NP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:LAUNA
Last Name:WEEKS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:WEEKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:14751 GAIL PARK LN
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2915
Mailing Address - Country:US
Mailing Address - Phone:858-486-2010
Mailing Address - Fax:858-486-2010
Practice Address - Street 1:26520 CACTUS AVE
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-3927
Practice Address - Country:US
Practice Address - Phone:951-486-5162
Practice Address - Fax:818-843-5224
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP13388363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA13388OtherREGISTER NURSE