Provider Demographics
NPI:1629376322
Name:BIRMAN, SUSANNE SEMLER (RN, CNS)
Entity Type:Individual
Prefix:MS
First Name:SUSANNE
Middle Name:SEMLER
Last Name:BIRMAN
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 SAINT ELIZABETH RD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-1228
Mailing Address - Country:US
Mailing Address - Phone:818-790-9907
Mailing Address - Fax:818-799-0990
Practice Address - Street 1:3620 SAINT ELIZABETH RD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-1228
Practice Address - Country:US
Practice Address - Phone:818-790-9907
Practice Address - Fax:818-799-0990
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA578364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult