Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan Mary Nickerson

Individual provider Certified Registered Nurse Anesthetist · NPI 1811163884

Susan Mary Nickerson is a Certified Registered Nurse Anesthetist in Corte Madera, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

239 Koch Rd
Corte Madera, CA 94925 Not confirmed with CMS for 17 years — call before visiting
Phone: (310) 294-4441
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence NA3728 (CA)

Record details

NPI number1811163884
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2008
Last updated in NPPESDecember 23, 2008