Provider Demographics
NPI:1538207253
Name:NASH, SUZANNE C (MD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:C
Last Name:NASH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:800-470-0071
Mailing Address - Fax:916-731-7877
Practice Address - Street 1:770 MASON ST
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-4646
Practice Address - Country:US
Practice Address - Phone:707-454-5800
Practice Address - Fax:707-454-5952
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2014-05-08
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Provider Licenses
StateLicense IDTaxonomies
CAG609192083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA53624Medicare UPIN