Provider Demographics
NPI:1629687256
Name:DEER, SUZEL ANNE-MARIE (RSN)
Entity Type:Individual
Prefix:MRS
First Name:SUZEL
Middle Name:ANNE-MARIE
Last Name:DEER
Suffix:
Gender:F
Credentials:RSN
Other - Prefix:MRS
Other - First Name:SUZEL
Other - Middle Name:ANNE-MARIE
Other - Last Name:KAMMERER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RSN
Mailing Address - Street 1:1017 STONY POINT RD
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95407
Mailing Address - Country:US
Mailing Address - Phone:707-230-2170
Mailing Address - Fax:
Practice Address - Street 1:1017 STONY POINT RD
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95407
Practice Address - Country:US
Practice Address - Phone:707-230-2170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA426055163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse