Provider Demographics
NPI:1598899254
Name:SUGUITAN, ELAINE MAE LIBRADO (MS RN CNS)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE MAE
Middle Name:LIBRADO
Last Name:SUGUITAN
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Gender:F
Credentials:MS RN CNS
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Mailing Address - Street 1:19000 HOMESTEAD RD
Mailing Address - Street 2:MEMORY CLINIC
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-0712
Mailing Address - Country:US
Mailing Address - Phone:408-366-4372
Mailing Address - Fax:
Practice Address - Street 1:19000 HOMESTEAD RD
Practice Address - Street 2:MEMORY CLINIC
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-0712
Practice Address - Country:US
Practice Address - Phone:408-366-4372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2021-12-30
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Provider Licenses
StateLicense IDTaxonomies
CA2597364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology