Susan E Puorro, CRNA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

CACRNA490 Issued in CA

Practice address

99 Montecillo Rd
San Rafael, CA 94903-3308

Phone

(415) 479-0226

NPI assigned

Jul 27, 2006

Last updated

Apr 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1225052764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 FARMERS LN",
            "address_2": "#335",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057525",
            "telephone_number": "415-479-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MONTECILLO RD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033308",
            "telephone_number": "415-479-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUORRO",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "CACRNA490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laishacarol Prondzinski
• Susan J Protzel, DDS
• Paul E. Prusiner, MD
• Carol-Anne Pugliese
• Samantha Ruth Pullen
• Elaine C Purcell
• Patricia M. Purcell, NP
• Michelle Anne Purdy, CADAC
• Carrie Elizabeth Purvis, PT
• Kate Purvis

• Registered Nurse in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.