Susan Dusenbury Sequeira in San Leandro - Gerontology

Susan Dusenbury Sequeira - NPI 1417015355

Susan Dusenbury Sequeira is a Gerontology in San Leandro, California. Susan Dusenbury Sequeira practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Susan Dusenbury Sequeira is 1417015355. The last update date is 2015-07-09.

Susan Dusenbury Sequeira's current location address is 2500 Merced St, San Leandro, California. You can contact this provider via phone number 5104541000. The mailing address for Susan Dusenbury Sequeira is 2500 Merced St, San Leandro, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Dusenbury Sequeira
Address 2500 Merced St, San Leandro, California
Phone Number 5104541000
Fax Number
Sole Proprietor N
Credentials N.P.

NPI Number Detail

NPI Number 1417015355
Provider Enumeration Date 2006-12-04
Last Updated Date 2015-07-09

Provider Mailing Address Detail

Address 2500 Merced St
City San Leandro
State California (CA)
Post Code 945774201
Phone Number 5104541000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Gerontology
Taxonomy 363Lg0600X
Licence No 3037
Definition:
An advanced practice registered nurse expert in providing care to older adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
217218 CA NURSING LICENSE

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FAQs about Susan Dusenbury Sequeira

What is the unique identifier code issued to Susan Dusenbury Sequeira by the Centers for Medicare & Medicaid Services?

The Susan Dusenbury Sequeira has been assigned the NPI (National Provider Identifier) 1417015355. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Susan Dusenbury Sequeira located?

The Susan Dusenbury Sequeira is located at 2500 Merced St, San Leandro, CA 945774201.

What is the area of specialization for Susan Dusenbury Sequeira, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Susan Dusenbury Sequeira is Gerontology, and the corresponding taxonomy code that categorizes this area of expertise is 363Lg0600X.

On what date did the Susan Dusenbury Sequeira receive its 1417015355 assignment from the Centers for Medicare & Medicaid Services?

The Susan Dusenbury Sequeira was assigned its 1417015355 by the Centers for Medicare & Medicaid Services on 2006-12-04.

As of what date were the Susan Dusenbury Sequeira's details last updated?

The information pertaining to the Susan Dusenbury Sequeira, including its address, specialty, and other details, was most recently updated on 2015-07-09.

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