Provider Demographics
NPI:1356566251
Name:VANSTEENKISTE, SUSAN PERKINS (RN)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:PERKINS
Last Name:VANSTEENKISTE
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:17284 DOG BAR RD
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95949-9511
Mailing Address - Country:US
Mailing Address - Phone:530-889-7169
Mailing Address - Fax:530-889-7198
Practice Address - Street 1:11484 B AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-2603
Practice Address - Country:US
Practice Address - Phone:530-889-7169
Practice Address - Fax:530-889-7198
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA517020363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics