Mr. Iwan Sutana

MBA, MSN, AGACNP-BC | Nurse Practitioner

300 Pasteur Dr, Palo Alto
  California, 94305-2200
650-723-2091
May or may not accept Medicare Nurse Anesthetist in Palo Alto, California.
Mr. Iwan Sutana is a Palo Alto, California based nurse practitioner. Active license number of Mr. Iwan Sutana is 95007809 for Acute Care in California. His current practice location is 300 Pasteur Dr, Palo Alto. Patients can reach him at 650-723-2091. Mr. Iwan Sutana is MBA, MSN, AGACNP-BC and his NPI number (Unique professional ID assigned by NPPES) is 1194250670.
Mr. Iwan Sutana has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Iwan Sutana speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Iwan Sutana
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: MBA, MSN, AGACNP-BC
Practice Address:300 Pasteur Dr, Palo Alto,
California, 94305-2200
Phone:650-723-2091
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1194250670
NPI Enumeration Date: 21 Apr, 2017
NPI Last Update On: 28 Dec, 2021

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Iwan Sutana are as mentioned below.
License NumberSpecializationStateStatus
95007809Acute Care CaliforniaPrimary
695922Registered Nurse CaliforniaSecondary
71519Registered Nurse CaliforniaSecondary
95007809Nurse Practitioner CaliforniaSecondary
95007809Adult Health CaliforniaSecondary
95007809Gerontology CaliforniaSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Iwan Sutana such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
695922OtherCaliforniaCA BRN
71519OtherCaliforniaCALIFORNIA BOARD OF REGISTERED NURSING
95007809OtherCaliforniaCALIFORNIA BOARD OF REGISTERED NURSING
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Iwan Sutana
300 Pasteur Dr,
Stanford, California
Zip: 94305-2200
Phone Number: 650-723-4000
Patients can reach Mr. Iwan Sutana at 300 Pasteur Dr, Palo Alto, California or can call to book an appointment on 650-723-2091.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.