Doctor Name: | SUSAN GREENBERG |
NPI Number: | 1003122466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | GNP, RN |
License Number: | 328095 |
Business Practice Address: | 500 Petaluma Ave Sebastopol, CA - 954724216 |
Business Phone Number: | 7073261500 |
Business Fax Number: | |
Mailing Address: | 500 Petaluma Avenue, SEBASTOPOL |
State: | CA |
Postal Code: | 95472 |
Phone Number: | 7073261500 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2010 |
NPI Last Update Date: | 03/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH1000X |
License Number: | 328095 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Hospice |
Taxonomy Definition: |