SUSAN GREENBERG GNP RN NPI 1003122466

NPI Information

NPI: 1003122466
Provider Name: SUSAN GREENBERG, GNP, RN
Classification: Registered Nurse - 163WG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
500 PETALUMA AVE
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 326-1500
Get Directions

Susan Greenberg, GNP, RN is a gerontology registered nurse in Sebastopol, CA. Susan Greenberg, GNP, RN NPI is 1003122466. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 PETALUMA AVE
SEBASTOPOL, CA
ZIP 95472-216
Phone: (707) 326-1500

The NPI 1003122466 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/24/2010 and was last updated on 3/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH1000X	Registered Nurse	Hospice	328095	CALIFORNIA	No
2	163WG0600X	Registered Nurse	Gerontology	328095	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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