SUSAN NYLEN NFP
NPI 1205823077
Family Medicine - Addiction Medicine in Manteca, CA

Active since October 05, 2005
1140 NORMAN DR, SUITE 101, MANTECA, CA 95336(209) 825-7748 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Nylen Nfp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN NYLEN NFP (NPI 1205823077) is an individual addiction medicine provider in Manteca, California and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1205823077
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameSUSAN NYLENCredential: NFP
Location Address1140 NORMAN DR, SUITE 101Manteca, CA 95336-5900
Mailing Address1140 Norman Dr, Suite 101Manteca, CA 95336-5900 · (209) 825-7748
Sole ProprietorNo
Enumeration DateOctober 5, 2005
Last NPPES UpdateFebruary 21, 2008
NPI 1205823077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
1140 NORMAN DR, Manteca, CA 95336

Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ26112ZCA
Medicare UPIN23049CA

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1140 NORMAN DR, SUITE 103
MANTECA, CA 95336
Nurse Practitioner (Family)
1140 NORMAN DR
MANTECA, CA 95336
Internal Medicine
1140 NORMAN DR, STE 103
MANTECA, CA 95336
Internal Medicine
1140 NORMAN DR, SUITE 103
MANTECA, CA 95336
Internal Medicine
1140 NORMAN DR, SUITE 103
MANTECA, CA 95336
Family Medicine (Adult Medicine)
1140 NORMAN DR, SUITE 101
MANTECA, CA 95336
Family Medicine (Adult Medicine)
1140 NORMAN DR, SUITE 101
MANTECA, CA 95336
Internal Medicine
1140 NORMAN DR, SUITE 1
MANTECA, CA 95336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Nylen's NPI number?

The NPI number for Susan Nylen is 1205823077. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Susan Nylen located?

Susan Nylen practices at 1140 Norman Dr Suite 101, Manteca, CA 95336. The listed phone number is (209) 825-7748.

What is Susan Nylen's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Susan Nylen was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.