Susan Rae Ault, FNP
Nurse Practitioner, Family in Anderson, CA. Individual provider (NPI-1).
NPI number1790777100
StatusActive
Last updated in NPPESMay 31, 2016
Details
- NPI
- 1790777100
- Entity type
- Individual (NPI-1)
- Name
- Susan Rae Ault
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2005
- Last updated
- May 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 14768 | CA | Yes |
| 163WG0000X | Registered Nurse, General Practice | 083045668RN | OR | |
| 363L00000X | Nurse Practitioner | 200450018NP | OR | |
| 364SX0200X | Clinical Nurse Specialist, Oncology | 200570025CNS | OR |
Practice location
2830 East StAnderson, CA 96007-3408
Phone 530-365-2545 · Fax 530-365-3871
Mailing address
2830 East StAnderson, CA 96007-3408
Phone 530-365-2545 · Fax 530-365-3871
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Other Family Nurse Practitioner providers in Anderson, CA
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All 8 Family Nurse Practitioner providers in Anderson · All 225 providers in Anderson
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