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Dr. Susan J Van Fossen, RN,MSN,BC,PMHNP,
Psychiatric/Mental Health Nurse Practitioner in San Antonio, Texas
NPI 1558309328

Susan J Van Fossen is a Psychiatric/Mental Health Nurse Practitioner based in Granbury, TX and is specialized in Psychiatric/Mental Health. Susan J Van Fossen practices in San Antonio, TX and has the professional credentials of RN,MSN,BC,PMHNP,. The NPI Number for Susan J Van Fossen is 1558309328 and holds a License No. 232874 (Texas).

The current practice location address for Susan J Van Fossen is 616 W Russell Pl, San Antonio, TX and can be reached out via phone at 800-257-8715 and via fax at 800-819-1655. You can also correspond with Susan J Van Fossen through the mailing address at 1105 CLIFF SWALLOW DR, GRANBURY, TX - 76048-2651 (mailing address contact number: 817-579-6757).

Location: 616 W Russell Pl, San Antonio, TX, 76048-2651
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Provider Profile Details
NPI Number
1558309328
Provider Name
Susan J Van Fossen
Credential
RN,MSN,BC,PMHNP,
Provider Entity Type
Individual
Gender
Female
Address
616 W Russell Pl, San Antonio, TX, 76048-2651
Phone Number
800-257-8715
Fax Number
800-819-1655
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87N290 01 TX BLUE CROSS BLUE SHIELD
118282603 05 TX
118282605 01 TX INDIVIDUAL
118282601 05 TX
500012787 01 TX RAILROAD
118282602 05 TX
8N3327 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
616 W Russell Pl
City
State
Zip
78212-3658
Phone Number
800-257-8715
Fax Number
800-819-1655
person
Provider Business Mailing Address Details
Address
616 W Russell Pl
City
State
Zip
78212-3658
Phone Number
800-257-8715
Fax Number
800-819-1655
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
232874 (Texas)
Definition
Definition to come...
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