Maria Susena Ross
Individual provider Active NPI School Registered Nurse · Gustine, CA
NPI 1174155485 · NPPES record last updated Feb 5, 2020
Key facts
- NPI
- 1174155485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 95096064 (CA)
- Practice address
- 1500 Meredith Ave
Gustine, CA 95322-1701 - Phone
- (209) 600-2102
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95096064 | CA | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse |
163WS0200X | 95096064 | CA | Yes |
Addresses
Primary practice location
1500 Meredith Ave
Gustine, CA 95322-1701
Mailing address
1500 Meredith Ave
Gustine, CA 95322-1701
Phone (209) 600-2102
Other providers in Gustine, CA
- Benjamin Carl Parolini
- Arlene Dianne Payne
- Ashley Ramirez
- Ran Health Services, Inc.
- Elizabeth Romero
- Taylor Torongo
- Johanna Valencia
- Jaime Christine Vargas
- Westsdie Medical Supply
- Haley White
All providers in Gustine, CA · School Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.