Provider Demographics
NPI:1295013928
Name:CAVE-BROWN, SUSAN JENNIFER (RN, NP)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:JENNIFER
Last Name:CAVE-BROWN
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:MRS
Other - First Name:SUSAN
Other - Middle Name:JENNIFER
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:796 BELLFLOWER ST
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-1354
Mailing Address - Country:US
Mailing Address - Phone:925-292-0687
Mailing Address - Fax:925-292-0687
Practice Address - Street 1:1601 YGNACIO VALLEY RD
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3122
Practice Address - Country:US
Practice Address - Phone:925-947-3280
Practice Address - Fax:925-947-4497
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2012-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA566918163W00000X
CA20964363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse