Provider Demographics
NPI:1619639515
Name:SINGSON, SUZANNE TAYLOR (FNP)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:TAYLOR
Last Name:SINGSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 KENTUCKY ST
Mailing Address - Street 2:
Mailing Address - City:GRIDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95948-2116
Mailing Address - Country:US
Mailing Address - Phone:530-846-6231
Mailing Address - Fax:
Practice Address - Street 1:520 KENTUCKY ST
Practice Address - Street 2:
Practice Address - City:GRIDLEY
Practice Address - State:CA
Practice Address - Zip Code:95948-2116
Practice Address - Country:US
Practice Address - Phone:530-846-6231
Practice Address - Fax:530-846-4051
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95295124163W00000X
NH086076-21163WG0000X
MARN2352892163WG0000X
CA95029276363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice