Provider Demographics
NPI:1811006828
Name:HEATH, SUSAN L (RN, MS)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:L
Last Name:HEATH
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Gender:F
Credentials:RN, MS
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Mailing Address - Street 1:68 OAK KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANSELMO
Mailing Address - State:CA
Mailing Address - Zip Code:94960-1117
Mailing Address - Country:US
Mailing Address - Phone:415-221-4010
Mailing Address - Fax:415-750-6662
Practice Address - Street 1:4150 CLEMENT ST
Practice Address - Street 2:127P
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1545
Practice Address - Country:US
Practice Address - Phone:415-221-4810
Practice Address - Fax:415-750-6662
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CARN277264163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience