MRS. SUSAN L MOFFATT FNP NPI 1356338354

NPI Information

NPI: 1356338354
Provider Name: MRS. SUSAN L MOFFATT, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
231 N DOS CAMINOS AVE
VENTURA, CA
ZIP 93003
Phone: (805) 653-5070
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MRS. Susan L Moffatt, FNP is a family nurse practitioner in Ventura, CA. MRS. Susan L Moffatt, FNP NPI is 1356338354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

231 N DOS CAMINOS AVE
VENTURA, CA
ZIP 93003-660
Phone: (805) 653-5070
Fax: (805) 653-8099

The NPI 1356338354 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2005 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	6257	CALIFORNIA	Yes
2	363LF0000X	Nurse Practitioner	Family	333036	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	333036	OTHER	CALIFORNIA	RN NP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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