Individual
SUZANNE VERNON LIPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BC-ADM, CDE
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1511
(602) 263-1619
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
RN 481106
CA
364S00000X
Clinical Nurse Specialist
Primary
2590
CA
Other
Enumeration date
11/06/2006
Last updated
09/11/2025
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