Susan Denise Perry-Fort, RN
Registered Nurse, School in Sunnyvale, CA. Individual provider (NPI-1).
NPI number1962260596
StatusActive
Last updated in NPPESMar 8, 2024
Details
- NPI
- 1962260596
- Entity type
- Individual (NPI-1)
- Name
- Susan Denise Perry-Fort
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2024
- Certification date
- Mar 8, 2024
- Last updated
- Mar 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WS0200X | Registered Nurse, School | 95233142 | CA | Yes |
Practice location
824 Cumberland DrSunnyvale, CA 94087-1221
Phone 669-267-4584
Mailing address
4785 Bannock CirSan Jose, CA 95130-2202
Phone 408-504-5543
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