Provider Demographics
NPI:1184878654
Name:KARPLUS, SUSAN MARY (NP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:MARY
Last Name:KARPLUS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:MARY
Other - Last Name:GRIMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2345 COUNTRY HILLS DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-7319
Mailing Address - Country:US
Mailing Address - Phone:925-418-0279
Mailing Address - Fax:925-978-0991
Practice Address - Street 1:20400 LAKE CHABOT RD
Practice Address - Street 2:SUITE 102
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-5311
Practice Address - Country:US
Practice Address - Phone:510-247-9227
Practice Address - Fax:510-247-9241
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA385018163WP2201X
CANP 18840363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care