Provider Demographics
NPI:1497479356
Name:SILBER, SUSANNE MEGAN (RN, BSN, MPH)
Entity Type:Individual
Prefix:
First Name:SUSANNE
Middle Name:MEGAN
Last Name:SILBER
Suffix:
Gender:F
Credentials:RN, BSN, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 61
Mailing Address - Street 2:
Mailing Address - City:WESTCLIFFE
Mailing Address - State:CO
Mailing Address - Zip Code:81252-0061
Mailing Address - Country:US
Mailing Address - Phone:303-718-6062
Mailing Address - Fax:
Practice Address - Street 1:85 TRALEE RD
Practice Address - Street 2:
Practice Address - City:WESTCLIFFE
Practice Address - State:CO
Practice Address - Zip Code:81252-9329
Practice Address - Country:US
Practice Address - Phone:303-718-6062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO022246146L00000X
CORN.1641649163WS0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
No163WS0200XNursing Service ProvidersRegistered NurseSchool