Provider Demographics
NPI:1538474853
Name:LIMBER, SUSAN ELEANOR (SUSAN LIMBER)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:ELEANOR
Last Name:LIMBER
Suffix:
Gender:F
Credentials:SUSAN LIMBER
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:LIMBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, BSN, CLNC, CM
Mailing Address - Street 1:8868 LAKEWOOD DRIVE
Mailing Address - Street 2:# 317
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-8010
Mailing Address - Country:US
Mailing Address - Phone:707-499-5213
Mailing Address - Fax:707-620-0663
Practice Address - Street 1:8868 LAKEWOOD DRIVE
Practice Address - Street 2:# 317
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492-8010
Practice Address - Country:US
Practice Address - Phone:707-499-5213
Practice Address - Fax:707-620-0663
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550199163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management