Ms Susanne Johnson Phillips, DNP, FNP | |
300 W Carl Karcher Way, Anaheim, CA 92801-2426 | |
(888) 456-7002 | |
(714) 435-5407 |
Full Name | Ms Susanne Johnson Phillips |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 300 W Carl Karcher Way, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538167861 | NPI | - | NPPES |
NP0081300 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN476058 NP8130 (California) | Primary |
Entity Name | University Of California Irvine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598790529 PECOS PAC ID: 5395658181 Enrollment ID: O20031107000431 |
Entity Name | Regents Of The University Of |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366590762 PECOS PAC ID: 3779689518 Enrollment ID: O20070510000532 |
Mailing Address | Practice Location Address |
---|---|
Ms Susanne Johnson Phillips, DNP, FNP University Of California Irvine, 252e Berk Hall, Irvine, CA 92697-3959 Ph: (949) 824-4274 | Ms Susanne Johnson Phillips, DNP, FNP 300 W Carl Karcher Way, Anaheim, CA 92801-2426 Ph: (888) 456-7002 |
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Mr. William George Woods, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 W La Palma Ave Ste 207, Anaheim, CA 92801 Phone: 714-772-8282 Fax: 714-772-6493 | |
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