Susan Mary Nickerson
NPI #1811163884 in Corte Madera, California
Provider Information
- NPI Number
- 1811163884
- Entity Type
- Individual
- Name
- Susan Mary Nickerson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Apr 30, 2008
- Last Updated
- Dec 23, 2008
Practice Location
- Address
- 239 KOCH RD
- City
- Corte Madera
- State
- California
- ZIP Code
- 94925
- Phone
- (310) 294-4441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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