Individual
SUSAN GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP, RN
Contact information
Practice address
500 PETALUMA AVE, SEBASTOPOL, CA 95472-4216
(707) 326-1500
Mailing address
500 PETALUMA AVENUE, SEBASTOPOL, CA 95472
(707) 326-1500
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
328095
CA
163WH1000X
Hospice Registered Nurse
328095
CA
Other
Enumeration date
08/24/2010
Last updated
03/16/2011
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