Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | EC-06-1092 | ME |
Y | 207VX0201X | Gynecologic Oncologist | A111057 | CA |
NPI | 1215005160 |
---|---|
Provider Name | Dr. Nell V Suby |
First Address | Sacramento, CA 95815-4807 |
Second Address | Sacramento, CA 95815-4807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 11/02/2022 |