SUSIE LUCKCINA DRENNAN (NPI# 1639764236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639764236 |
| Entity Type | Individual |
| Full Name | SUSIE LUCKCINA DRENNAN |
| Gender | Female |
| Credential | ARNP-C |
| Practice Address | 2850 Adrian St Apt 124 San Diego CA 92110-5723 |
| Practice Telephone | 3163124630 |
| Mailing Address | 2850 Adrian St Apt 124 San Diego CA 92110-5723 |
| Mailing Telephone | 3163124630 |
| Certification Date | 2021-03-04 |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner Specialization: Family | 95016423 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address | 2850 ADRIAN ST APT 124 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-5723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215567045 | Alicia Lowery | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2020-01-21 |
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1245776301 | Kristen M Tenwolde | Chiropractor | 1764 San Diego Avenue, # 140, San Diego, CA 92110 | 2017-01-13 |
| 1447707005 | Dena Michelle Corte | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-09-01 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528645934 | Amina Stone | 8366 High Winds Way, San Diego, CA 92120-1749 | 2021-03-24 | |
| 1508456880 | Brooke Riordan | 1670 Kettner Blvd Apt 408, San Diego, CA 92101-2559 | 2021-01-21 | |
| 1669060992 | Rachel Tagum Samson · Rachel Lagrimas Tagum | 1565 Hotel Cir S Ste 320, San Diego, CA 92108-3425 | 2021-01-03 | |
| 1467058362 | Shaylyn White | 3325 Cherokee Ave, San Diego, CA 92104-4412 | 2020-12-07 | |
| 1497358915 | Allyssa Perez | 200 W Arbor Dr # 8687, San Diego, CA 92103-1911 | 2020-11-18 | |
| 1003415472 | Ryanleo Flores | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 | |
| 1568060622 | Danielle Debussey Mccallion | 6367 Alvarado Ct Ste 200, San Diego, CA 92120-4915 | 2020-10-12 | |
| 1083226245 | Allison Floyd | 3652 Texas St, San Diego, CA 92104-4044 | 2020-08-19 | |
| 1386255248 | Helen Hyeyoung Hong | 5140 Caminito Exquisito, San Diego, CA 92130-2852 | 2020-08-13 | |
| 1013528488 | Yevheniya Khrobust | 4829 Clairemont Dr, San Diego, CA 92117-2706 | 2020-08-11 | |
| Find all providers in SAN DIEGO | ||||
| City | SAN DIEGO |
| Zip Code | 92110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740679323 | Susie S Mclain · Susie S Blakley | General Acute Care Hospital · Children | 10192 Riverstone Dr, Parker, CO 80134-9164 | 2015-01-20 |
| 1720083041 | Susie H Kim-Maulsby · Susie Hyun Kim | Radiology · Diagnostic Radiology | 5400 Kennedy Ave, Cincinnati, OH 45213-2664 | 2005-06-14 |
| 1134495096 | Susie Ro · Susie Chan | Dentist · General Practice | 17173 Ralphs Ranch Rd, San Diego, CA 92127-7825 | 2012-03-26 |
| 1013020288 | Susie M. Wenstrup · Susie Junko Matsuno | Family Medicine | 800 Delbon Ave, Turlock, CA 95382-2005 | 2006-08-15 |
| 1013418045 | Susie A Feshold · Susie Haley | Occupational Therapist | 1000 W Crosby Rd Ste 136, Carrollton, TX 75006-6904 | 2018-02-25 |
| 1487092078 | Susie C Drake · Susie Chen | Ophthalmology | 2880 University Ave, Madison, WI 53705-3644 | 2013-06-05 |
| 1508155136 | Susie K Pruitt · Susie K Copeland | Nurse Practitioner | 2040 Harrodsburg Rd Ste 200, Lexington, KY 40503-1714 | 2011-04-05 |
| 1548461049 | Susie Alexander · Susie Daniel | Family Medicine | 2323 Ridge Ct, Lawrence, KS 66046-3956 | 2007-05-30 |
| 1417979667 | Susie Myer Norris · Susie M Estes | Internal Medicine | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2006-07-24 |
| 1518154632 | Susie Z Irons · Susie Zamora | Social Worker · Clinical | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2007-10-02 |
Please provide details on SUSIE LUCKCINA DRENNAN by submitting the form below, or post on facebook comments.
Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.