Provider Demographics
NPI:1811195415
Name:SEATERS, SUSAN KATHLEEN (RN PHD)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:KATHLEEN
Last Name:SEATERS
Suffix:
Gender:F
Credentials:RN PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4231 WILD LILAC LN
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:95635-9679
Mailing Address - Country:US
Mailing Address - Phone:530-889-7155
Mailing Address - Fax:530-889-7198
Practice Address - Street 1:11484 B AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-2603
Practice Address - Country:US
Practice Address - Phone:530-889-7155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 500428163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health