Healthcare Provider Details

I. General information

NPI: 1083526743
Provider Name (Legal Business Name): SUSAN LYNN KRIKORIAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 S SAGE CT
SUNNYVALE CA
94087-2475
US

IV. Provider business mailing address

1145 S SAGE CT
SUNNYVALE CA
94087-2475
US

V. Phone/Fax

Practice location:
  • Phone: 408-691-7144
  • Fax:
Mailing address:
  • Phone: 408-691-7144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN284110
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: