KEITH SAUCERMAN FNP
NPI 1649517103
Nurse Practitioner - Family in Santa Paula, CA
Active since January 03, 2013
About Keith Saucerman Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH SAUCERMAN FNP (NPI 1649517103) is an individual family provider in Santa Paula, California, licensed in California (11969) and active in the NPI registry since January 2013.
NPPES Registry Identity
NPI1649517103
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEITH SAUCERMANCredential: FNP
Location Address600 TODD RDSanta Paula, CA 93060-9725
Mailing Address600 Todd RdSanta Paula, CA 93060-9725 · (805) 933-8556
Phone(805) 933-8556
Sole ProprietorYes
Enumeration DateJanuary 3, 2013
Last NPPES UpdateMarch 11, 2016
✔ NPI 1649517103 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 11969
600 TODD RD, Santa Paula, CA 93060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649517103, enumerated as an "individual" on January 03, 2013.
The provider is located at 600 TODD RD SANTA PAULA, CA 93060 and the phone number is (805) 933-8556.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
