Provider Demographics
NPI:1083314918
Name:DEMPSEY, SUSAN JOYCE (RN, CNS)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:JOYCE
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:DR
Other - First Name:SUSAN
Other - Middle Name:JOYCE
Other - Last Name:DEMPSEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, CNS
Mailing Address - Street 1:2631 SHADY VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-3454
Mailing Address - Country:US
Mailing Address - Phone:858-524-4040
Mailing Address - Fax:
Practice Address - Street 1:757 WESTWOOD PLZ
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-8358
Practice Address - Country:US
Practice Address - Phone:310-592-0435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN334434163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management