MRS. SUZANNE RENE' CALCUTT MSN FNP-BC PHN NPI 1467077610

NPI Information

NPI: 1467077610
Provider Name: MRS. SUZANNE RENE' CALCUTT, MSN, FNP-BC, PHN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3327 ROSECRANS ST
SAN DIEGO, CA
ZIP 92110
Phone: (619) 225-9691
Get Directions

MRS. Suzanne Rene' Calcutt, MSN, FNP-BC, PHN is a family nurse practitioner in San Diego, CA with 5 years of experience. MRS. Suzanne Rene' Calcutt, MSN, FNP-BC, PHN NPI is 1467077610. 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:

3327 ROSECRANS ST
SAN DIEGO, CA
ZIP 92110-223
Phone: (619) 225-9691

The NPI 1467077610 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 6/13/2020 and was last updated on 9/24/2021.

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	95014219	CALIFORNIA	Yes

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	729393	OTHER	CALIFORNIA	CALIFORNIA BOARD OF REGISTERED NURSING - RN LICENSE
2	557640	OTHER	CALIFORNIA	CALIFORNIA PUBLIC HEALTH NURSE
3	95014219	OTHER	CALIFORNIA	CALIFORNIA BRN - FAMILY NURSE PRACTITIONER
4	NPF95014219	OTHER	CALIFORNIA	CALIFORNIA BRN - FNP FURNISHING NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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