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Susan Rae Ault, FNP
Family Nurse Practitioner in Anderson, California
NPI 1790777100

Susan Rae Ault is a Family Nurse Practitioner based in Anderson, CA and is specialized in Family. Susan Rae Ault practices in Anderson, CA and has the professional credentials of FNP. The NPI Number for Susan Rae Ault is 1790777100 and holds a License No. 083045668RN (California).

The current practice location address for Susan Rae Ault is 2830 East St, Anderson, CA and can be reached out via phone at 530-365-2545 and via fax at 530-365-3871. You can also correspond with Susan Rae Ault through the mailing address at 2830 EAST ST, ANDERSON, CA - 96007-3408 (mailing address contact number: 530-365-2545).

Location: 2830 East St, Anderson, CA, 96007-3408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790777100
Provider Name
Susan Rae Ault
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2830 East St, Anderson, CA, 96007-3408
Phone Number
530-365-2545
Fax Number
530-365-3871
Provider Enumeration Date
08/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
278215 05 OR
1407812365 01 OR GROUP NPI NUMBER
R0000WFBTV 01 OR MEDICARE GROUP PIN NUMBER
institution
Provider Business Practice Location Address Details
Address
2830 East St
City
Anderson
State
California
Zip
96007-3408
Phone Number
530-365-2545
Fax Number
530-365-3871
person
Provider Business Mailing Address Details
Address
2830 East St
City
Anderson
State
California
Zip
96007-3408
Phone Number
530-365-2545
Fax Number
530-365-3871
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
14768 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
200570025CNS (Oregon)
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 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
200450018NP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Oncology
Taxonomy
364SX0200X
License No.
083045668RN (Oregon)
Definition
Definition to come...
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