Provider Demographics
NPI:1952584252
Name:CONTRERAS, SUSAN RIVER (RN BS PHN)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:RIVER
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:RN BS PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 HOPYARD ROAD
Mailing Address - Street 2:ROOM 102
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8510
Mailing Address - Country:US
Mailing Address - Phone:925-462-5775
Mailing Address - Fax:925-846-2591
Practice Address - Street 1:3730 HOPYARD ROAD
Practice Address - Street 2:ROOM 102 PUBLIC HEALTH NURSING
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8510
Practice Address - Country:US
Practice Address - Phone:925-462-5775
Practice Address - Fax:925-846-2591
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN139510163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health