Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Susan Michelle Moultrie, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1629352901

MS. Susan Michelle Moultrie, NURSEPRACTITIONER is a Family Nurse Practitioner in Victorville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

12830 Hesperia Rd Ste Cde
Victorville, CA 92395-7788
Phone: (760) 684-8999
Fax: (760) 684-8111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12560 (CA)

Record details

NPI number1629352901
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedOctober 4, 2011
Last updated in NPPESOctober 31, 2024
Certification dateOctober 25, 2024

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