Surratt, Dawn
Surratt, Dawn is an individual health care provider with primary practice located at 3850 17Th St , San Francisco CA 94114-2031. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Surratt, Dawn can be contacted via phone (628) 217-5700.Contact Information
Primary practice address
3850 17Th St
San Francisco CA 94114-2031
Phone: (628) 217-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 95005079 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95005079 | California |
Profile Details
| NPI number | 1992243711 |
|---|---|
| LBN Legal business name | Surratt, Dawn |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2017 |
| Last updated | Apr 24th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992243711 | NPPES |
| California | Other | 95005079 | CALIFORNIA BOARD OF REGISTERED NURSES-NP FURNISHING |
| California | MEDICAID | 1689863516 | CALIFORNIA BOARD OF REGISTERED NURSES-NP FURNISHING |
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