person
Ms. Susan Michelle Moultrie, NURSEPRACTITIONER
Family Nurse Practitioner in Victorville, California
NPI 1629352901

Susan Michelle Moultrie is a Family Nurse Practitioner based in Fontana, CA and is specialized in Family. Susan Michelle Moultrie practices in Victorville, CA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Susan Michelle Moultrie is 1629352901 and holds a License No. 12560 (California).

The current practice location address for Susan Michelle Moultrie is 12830 Hesperia Rd Ste Cde, Victorville, CA and can be reached out via phone at 760-684-8999 and via fax at 760-684-8111.

Location: 12830 Hesperia Rd Ste Cde, Victorville, CA, 92336
person
Provider Profile Details
NPI Number
1629352901
Provider Name
Susan Michelle Moultrie
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
12830 Hesperia Rd Ste Cde, Victorville, CA, 92336
Phone Number
760-684-8999
Fax Number
760-684-8111
Provider Enumeration Date
10/04/2011
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
12830 Hesperia Rd Ste Cde
City
State
Zip
92395-7788
Phone Number
760-684-8999
Fax Number
760-684-8111
person
Provider Business Mailing Address Details
Address
12830 Hesperia Rd Ste Cde
City
State
Zip
92395-7788
Phone Number
760-684-8999
Fax Number
760-684-8111
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
12560 (California)
Definition
Definition to come...
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