Individual provider · Type 1 NPI

Susan Marie Bodo, RN

Registered Nurse · San Rafael, CA

NPI number 1922955053 Active

Practice location

16 Jeannette Prandi Way
San Rafael, CA 94903-1133

Mailing address

13 Peter Behr Dr
San Rafael, CA 94903-5216

Other practice locations

  • 13 Peter Behr Dr, San Rafael, CA 94903-5216 · (415) 473-6651

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X406411 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1922955053

Susan Marie Bodo, RN's National Provider Identifier is 1922955053, issued on Mar 16, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in San Rafael, CA. The record was last updated on Mar 16, 2026.