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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. SUSAN MICHELLE MOULTRIE, NURSE PRACTITIONER

Active Sole Proprietor

MS. SUSAN MICHELLE MOULTRIE, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in VICTORVILLE, California. NPI 1629352901 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · VICTORVILLE, CA

Registration Details

NPI Number
1629352901
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2011 (14.67460697838 yrs)
Last Updated
Oct 31, 2024
License
12560 (CA)
Sole Proprietor
Yes

Practice Information

Address
12830 HESPERIA RD STE CDE
VICTORVILLE, CA, 923957788
Browse CA providers · Browse ZIP 92395
Phone
7606848999
Fax
7606848111
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in VICTORVILLE, CA

Name Credential NPI
MS. SOOK JA PARK FNP-BC, ANP-BC 1184682999
MADELEINE ONG-VELOSO N.P. 1629027305
DARLINE KAREN PADILLA F.N.P-C 1558373183
MR. SAM SOM FNP-C 1316084312
MRS. SELEAINA ANN THOMAS FNP-C 1871790444
MR. DON W JESKE NP-C 1225261027
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.