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Mrs. Susan I. Ivancic, RN,BSN,CDE,SNIV
Case Management Registered Nurse in San Rafael, California
NPI 1083751192

Susan I. Ivancic is a Case Management Registered Nurse based in San Rafael, CA and is specialized in Case Management. Susan I. Ivancic practices in San Rafael, CA and has the professional credentials of RN,BSN,CDE,SNIV. The NPI Number for Susan I. Ivancic is 1083751192 and holds a License No. 172329 (California).

The current practice location address for Susan I. Ivancic is 99 Montecillo Rd, San Rafael, CA and can be reached out via phone at 415-444-2575 and via fax at 415-444-4622.

Location: 99 Montecillo Rd, San Rafael, CA, 94903-3308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083751192
Provider Name
Susan I. Ivancic
Credential
RN,BSN,CDE,SNIV
Provider Entity Type
Individual
Gender
Female
Address
99 Montecillo Rd, San Rafael, CA, 94903-3308
Phone Number
415-444-2575
Fax Number
415-444-4622
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
99 Montecillo Rd
City
San Rafael
State
California
Zip
94903-3308
Phone Number
415-444-2575
Fax Number
415-444-4622
person
Provider Business Mailing Address Details
Address
99 Montecillo Rd
City
San Rafael
State
California
Zip
94903-3308
Phone Number
415-444-2575
Fax Number
415-444-4622
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Case Management
Taxonomy
163WC0400X
License No.
172329 (California)
Definition
Definition to come...
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