Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Susan I. Ivancic, RN, BSN, CDE, SNIV

Individual provider Case Management Registered Nurse · NPI 1083751192

Mrs. Susan I. Ivancic, RN, BSN, CDE, SNIV is a Case Management Registered Nurse in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

99 Montecillo Rd
San Rafael, CA 94903-3308
Phone: (415) 444-2575
Fax: (415) 444-4622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence 172329 (CA)

Record details

NPI number1083751192
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , BSN , CDE , SNIV
Sole proprietorYes
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJuly 8, 2007

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