Provider Demographics
NPI:1912106832
Name:SCHOR, SUSAN G (NP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:G
Last Name:SCHOR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:SCHOR
Other - Last Name:SHEPPARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:4200 FARM HILL BLVD. BLDG 5-303
Mailing Address - Street 2:CANADA COLLEGE HEALTH CENTER
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-1099
Mailing Address - Country:US
Mailing Address - Phone:650-306-3129
Mailing Address - Fax:650-306-3185
Practice Address - Street 1:4200 FARM HILL BLVD. BLDG 5-303
Practice Address - Street 2:CANADA COLLEGE HEALTH CENTER
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-1099
Practice Address - Country:US
Practice Address - Phone:650-306-3129
Practice Address - Fax:650-306-3185
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP6311363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology