Suzarie Van Spence, FNP | |
6339 Mack Rd, Sacramento, CA 95823-4655 | |
(916) 585-7912 | |
(877) 479-7101 |
Full Name | Suzarie Van Spence |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6339 Mack Rd, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316339930 | NPI | - | NPPES |
EFF: 6/14/16 - NORWO | Medicaid | CA | |
EFF: 6/14/16- 55TH | Medicaid | CA | |
EFF: 6/14/16 - MACK | Medicaid | CA | |
EFF: 6/14/16 - MARYS | Medicaid | CA | |
EFF: 6/14/16 C H | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95001965 (California) | Primary |
Entity Name | Clinicas Del Camino Real Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679631907 PECOS PAC ID: 3173434396 Enrollment ID: O20040205001238 |
Entity Name | Chapa-de Indian Health Program, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114057163 PECOS PAC ID: 4981688520 Enrollment ID: O20040614000473 |
Mailing Address | Practice Location Address |
---|---|
Suzarie Van Spence, FNP 200 Oceangate, Suite 100, Long Beach, CA 90802-4317 Ph: (562) 499-6191 | Suzarie Van Spence, FNP 6339 Mack Rd, Sacramento, CA 95823-4655 Ph: (916) 585-7912 |
Sumon Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2570 48th St, Sacramento, CA 95817 Phone: 916-734-2145 | |
Elena Walterman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2315 Stockton Blvd Ste 1507, Sacramento, CA 95817 Phone: 916-734-2387 | |
Ilana Lee Abramowitz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2230 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-3574 | |
Sharon Kay Mccoy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-6935 | |
Frances Eileen Briare, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000 | |
Ms. Patricia Lynne Kang, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Eldercare Adult Medicine F, Sacramento, CA 95823 Phone: 916-688-6862 Fax: 916-973-6682 | |
Ashena Varani, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3840 Watt Ave, Suite E, Sacramento, CA 95821 Phone: 916-488-6200 Fax: 916-488-6300 |