Provider Demographics
NPI:1154650216
Name:SEGER, SUZANNE (CNM)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:SEGER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 PARNASSUS AVE
Mailing Address - Street 2:UNIVERSITY OF CALIFORNIA SAN FRANCISCO, BOX 0132
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0132
Mailing Address - Country:US
Mailing Address - Phone:415-514-9399
Mailing Address - Fax:416-476-1811
Practice Address - Street 1:400 PARNASSUS AVE
Practice Address - Street 2:PLAZA LEVEL
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2202
Practice Address - Country:US
Practice Address - Phone:415-514-9399
Practice Address - Fax:416-476-1811
Is Sole Proprietor?:No
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA651107367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife