Healthcare Provider Details
I. General information
NPI: 1295013928
Provider Name (Legal Business Name): SUSAN JENNIFER CAVE-BROWN RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/29/2011
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1601 YGNACIO VALLEY RD
WALNUT CREEK CA
94598-3122
US
IV. Provider business mailing address
5385 DESIREE AVE
LIVERMORE CA
94550-2389
US
V. Phone/Fax
- Phone: 925-947-3280
- Fax: 925-947-4497
- Phone: 925-292-0687
- Fax: 925-292-0687
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 566918 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 20964 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: