Spence, Suzarie Van

Spence, Suzarie Van is an individual health care provider with primary practice located at 2100 Statham Blvd , Oxnard CA 93033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Spence, Suzarie Van can be contacted via phone (805) 330-8685.

Contact Information

Primary practice address
2100 Statham Blvd Oxnard CA 93033
Fax: (805) 367-5250
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95001965 California

Profile Details

NPI number 1316339930
LBN Legal business name Spence, Suzarie Van
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2015
Last updated Feb 12th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316339930 NPPES
California MEDICAID EFF: 6/14/16 - NORWO
California MEDICAID EFF: 6/14/16- 55TH
California MEDICAID EFF: 6/14/16 - MACK
California MEDICAID EFF: 6/14/16 - MARYS
California MEDICAID EFF: 6/14/16 C H

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