Moffatt, Susan L

Moffatt, Susan L is an sole proprietor health care provider with primary practice located at 231 N Dos Caminos Ave , Ventura CA 93003-1660. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moffatt, Susan L can be contacted via phone (805) 653-5070.

Contact Information

Primary practice address
231 N Dos Caminos Ave Ventura CA 93003-1660
Phone: (805) 653-5070
Fax: (805) 653-8099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6257 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 333036 California

Profile Details

NPI number 1356338354
LBN Legal business name Moffatt, Susan L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356338354 NPPES
California Other 333036 RN NP #

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