Individual provider · Type 1 NPI

Susan I. Ivancic, RN, BSN, CDE, SNIV

Case Management Registered Nurse · San Rafael, CA

NPI number 1083751192 Active

Practice location

99 Montecillo Rd
San Rafael, CA 94903-3308

Fax (415) 444-4622

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X172329 (CA)

Case Management Registered Nurse: Definition to come...

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About NPI 1083751192

Susan I. Ivancic, RN, BSN, CDE, SNIV's National Provider Identifier is 1083751192, issued on Jan 30, 2007. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.