MEDICARE: SUSAN ARTIN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95039372	CA

General Provider Information

NPI Number	:	1801724778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN ARTIN FNP

Provider Business Mailing Address
First Line	:	1156 SAN RAFAEL AVE APT 5
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-2450
Country	:	US
Telephone Number	:	213-640-7899
Fax Number	:

Provider Business Practice Location Address
First Line	:	1156 SAN RAFAEL AVE APT 5
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-2450
Country	:	US
Telephone Number	:	213-640-7899
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ SUSAN ARTIN FNP” Practice Location

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