Suzette Jessie Burrous, FNP RN CNM is a
Advanced Practice Midwife based in San Rafael, California. Suzette Jessie Burrous is licensed to practice in California (license number 839) and her current practice location is
3260 Kerner Blvd, San Rafael, California. She can be reached at her office (for appointments etc.) via phone at
(415) 473-4024.
NPI number for Suzette Jessie Burrous is 1619075629 and her current mailing address is 3260 Kerner Blvd, San Rafael, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619075629.
Provider's Profile
Full Name | Suzette Jessie Burrous |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 3260 Kerner Blvd, San Rafael, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619075629
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 11/24/2008
Medical Identifiers
Medical identifiers for Suzette Jessie Burrous such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619075629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 462096 (California) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | 9705 (California) | Secondary |
367A00000X | Advanced Practice Midwife | 839 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Suzette Jessie Burrous is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Suzette Jessie Burrous, FNP RN CNM 3260 Kerner Blvd, San Rafael, CA 94901 Ph: (415) 473-4024 | Suzette Jessie Burrous, FNP RN CNM 3260 Kerner Blvd, San Rafael, CA 94901-4861 Ph: (415) 473-4024 |
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