Active NPIIndividual provider

Susan M St Pierre, DO

Preventive Medicine, Addiction Medicine in Novato, California

NPI Number1720076458
Practice location
1615 Hill RD Ste 14, Novato, CA 94947
Fax
415-895-1288
Last updated
May 23, 2024

Susan Marie St Pierre is a Preventive Medicine, Addiction Medicine based in Novato, CA. Susan Marie St Pierre practices in Novato, CA and has the professional credentials of DO. The NPI Number for Susan Marie St Pierre is 1720076458 and holds a License No. 20A14943 (CA). The current practice location address for Susan Marie St Pierre is 1615 Hill RD Ste 14, Novato, CA 94947 and can be reached out via phone at 415-895-1441 and via fax at 415-895-1288.

Provider Profile Details

NPI Number
1720076458
Provider Name
Susan Marie St Pierre
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1615 Hill RD Ste 14, Novato, CA 94947
Phone Number
415-895-1441
Fax Number
415-895-1288
Primary Taxonomy
Preventive Medicine, Addiction Medicine · 2083A0300X
Sole Proprietor
No
Other Names
Susan Marie Shea, DO (Other Name)
Provider Enumeration Date
October 6, 2005
Last Update Date
May 23, 2024
Certification Date
May 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1615 Hill RD Ste 14
Novato, CA 94947
City
Novato
Zip
94947
Phone Number
415-895-1441
Fax Number
415-895-1288
Novato, CA 94947Get directions →

Provider Business Mailing Address Details

Address
4 Scammon St Ste 19-200
Saco, ME 04072-5121
City
Saco
State
ME
Zip
04072-5121

License Information

License Number (1)
20A14943
License State (1)
CA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
1409
License State (2)
ME
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
1409
License State (3)
ME
Taxonomy (3)
Preventive Medicine, Addiction Medicine · 2083A0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan M St Pierre, DO?

The NPI number of Susan M St Pierre, DO is 1720076458. It was assigned on October 6, 2005 and is currently active in the NPPES registry.

What is the specialty of Susan M St Pierre, DO?

Susan M St Pierre, DO is registered under the primary taxonomy Preventive Medicine, Addiction Medicine (code 2083A0300X), licensed in CA under license number 20A14943.

Where does Susan M St Pierre, DO practice?

The practice location is 1615 Hill RD Ste 14, Novato, CA 94947. The office can be reached at 415-895-1441 (phone) or 415-895-1288 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720076458 directly on the NPPES registry website.

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