Provider Demographics
NPI:1053419275
Name:AUCHTERLONIE, SUZANNE SMITH (FNP, RNC)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:SMITH
Last Name:AUCHTERLONIE
Suffix:
Gender:F
Credentials:FNP, RNC
Other - Prefix:
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Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:5700 WATT AVE
Practice Address - Street 2:
Practice Address - City:NORTH HIGHLANDS
Practice Address - State:CA
Practice Address - Zip Code:95660-4752
Practice Address - Country:US
Practice Address - Phone:916-332-5715
Practice Address - Fax:916-332-1849
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARN38637363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily