Nickerson, Susan Mary

Nickerson, Susan Mary is an sole proprietor health care provider with primary practice located at 239 Koch Rd , Corte Madera CA 94925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Nickerson, Susan Mary can be contacted via phone (310) 294-4441.

Contact Information

Primary practice address
239 Koch Rd Corte Madera CA 94925
Phone: (310) 294-4441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA3728 California

Profile Details

NPI number 1811163884
LBN Legal business name Nickerson, Susan Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2008
Last updated Dec 23rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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