Sutana, Iwan
Sutana, Iwan is an individual health care provider with primary practice located at 300 Pasteur Dr , Palo Alto CA 94305-2200. He recently has 6 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Sutana, Iwan can be contacted via phone (650) 723-2091.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 695922 | California |
| Nursing Service Providers / Community Health | 163WC1500X | 71519 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95007809 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 95007809 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 95007809 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 95007809 | California |
Profile Details
| NPI number | 1194250670 |
|---|---|
| LBN Legal business name | Sutana, Iwan |
| Credentials | MBA, MSN, AGACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2017 |
| Last updated | Dec 28th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194250670 | NPPES |
| California | Other | 695922 | CA BRN |
| California | Other | 71519 | CA BRN |
| California | Other | 95007809 | CA BRN |
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