Susan V Ebner, RN is a
Licensed Practical Nurse based in Santa Maria, California. Susan V Ebner is licensed to practice in California (license number 1127) and her current practice location is
1418 E Main St, Ste 210, Santa Maria, California. She can be reached at her office (for appointments etc.) via phone at
(805) 928-3678.
NPI number for Susan V Ebner is 1386952919 and her current mailing address is 150 Tejas Pl, Po Box 430, Nipomo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386952919.
Provider's Profile
| Full Name | Susan V Ebner |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 1418 E Main St, Santa Maria, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386952919
- Provider Enumeration Date: 09/16/2010
- Last Update Date: 09/16/2010
Medical Identifiers
Medical identifiers for Susan V Ebner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386952919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 279839 (California) | Secondary |
| 164W00000X | Licensed Practical Nurse | 1127 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan V Ebner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan V Ebner, RN
150 Tejas Pl, Po Box 430,
Nipomo, CA 93444-9123
Ph: (805) 929-3211 | Susan V Ebner, RN
1418 E Main St, Ste 210,
Santa Maria, CA 93454-4833
Ph: (805) 928-3678 |
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