Provider Demographics
NPI:1043646169
Name:NAPIERALA, SUSANNA M (LM)
Entity Type:Individual
Prefix:
First Name:SUSANNA
Middle Name:M
Last Name:NAPIERALA
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1146 KENILWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:KENWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:95452-9039
Mailing Address - Country:US
Mailing Address - Phone:707-321-2078
Mailing Address - Fax:707-833-5086
Practice Address - Street 1:1146 KENILWORTH AVE
Practice Address - Street 2:
Practice Address - City:KENWOOD
Practice Address - State:CA
Practice Address - Zip Code:95452-9039
Practice Address - Country:US
Practice Address - Phone:707-321-2078
Practice Address - Fax:707-833-5086
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM143176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife