Susan Maria Lavelle
Nurse Practitioner - Community Health
16319 Third Street
Guerneville
, California 95446
Susan Maria Lavelle
Nurse Practitioner - Community Health
16319 Third Street
Guerneville
, California 95446
(707) 992-0030
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Susan Maria Lavelle
- 8690 Petaluma Hill Rd
- Penngrove, CA
- Zip : 94951-8734
- Phone : (707) 992-0030
Second Address
- Susan Maria Lavelle
- 16319 Third Street
- Guerneville, CA
- Zip : 95446
- Fax : (707) 869-1477
- Phone : (707) 869-2849
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | NP 17209 | CA |
National Provider Identifier
| NPI | 1124226931 |
|---|---|
| Provider Name | Susan Maria Lavelle |
| First Address | Penngrove, CA 94951-8734 |
| Second Address | Guerneville, CA 95446 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.