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Mr. Iwan Sutana, MBA,MSN,AGACNP-BC
Acute Care Nurse Practitioner in Palo Alto, California
NPI 1194250670

Iwan Sutana is an Acute Care Nurse Practitioner based in Stanford, CA and is specialized in Acute Care. Iwan Sutana practices in Palo Alto, CA and has the professional credentials of MBA,MSN,AGACNP-BC. The NPI Number for Iwan Sutana is 1194250670 and holds a License No. 695922 (California).

The current practice location address for Iwan Sutana is 300 Pasteur Dr, Palo Alto, CA and can be reached out via phone at 650-723-2091.

Location: 300 Pasteur Dr, Palo Alto, CA, 94305-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194250670
Provider Name
Iwan Sutana
Credential
MBA,MSN,AGACNP-BC
Provider Entity Type
Individual
Gender
Male
Address
300 Pasteur Dr, Palo Alto, CA, 94305-2200
Phone Number
650-723-2091
Fax Number
Provider Enumeration Date
04/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
695922 01 CA CA BRN
71519 01 CA CALIFORNIA BOARD OF REGISTERED NURSING
95007809 01 CA CALIFORNIA BOARD OF REGISTERED NURSING
institution
Provider Business Practice Location Address Details
Address
300 Pasteur Dr
City
Palo Alto
State
California
Zip
94305-2200
Phone Number
650-723-2091
Fax Number
person
Provider Business Mailing Address Details
Address
300 Pasteur Dr
City
Palo Alto
State
California
Zip
94305-2200
Phone Number
650-723-2091
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
95007809 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
163WC1500X
License No.
95007809 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
95007809 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
95007809 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
71519 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
695922 (California)
Definition
Definition to come...
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