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

SUSAN RAE AULT, FNP

Active Sole Proprietor

Family Nurse Practitioner · ANDERSON, CA

Registration Details

NPI Number
1790777100
Provider Type
Individual
Gender
Female
NPI Issued
Aug 22, 2005 (20.727966809556 yrs)
Last Updated
May 31, 2016
Licenses
083045668RN (OR)
200450018NP (OR)
200570025CNS (OR)
14768 (CA)
Sole Proprietor
Yes

Practice Information

Address
2830 EAST ST
ANDERSON, CA, 960073408
Browse CA providers · Browse ZIP 96007
Phone
5303652545
Fax
5303653871
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Nurse Practitioner
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in ANDERSON, CA

Name Credential NPI
MRS. TIFFANY LOCKHART REGUERA F.N.P. 1962485839
MS. CAROLE ANN HODGES FNP 1013059138
CHRISTIAN CASEY YOUNG FNP 1154659431
WILLIAM DAVID BLACKMON RN, FNP-C 1679839138
ROBERTA ANN SAMPLES MSN, APRN, FNP-BC 1700137882
CHRISTINA M CREEDEN NP-C 1073033262
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.