IndividualActive
Susan Moon Labriola, NP
NPI 1861609414 · Oncology Clinical Nurse Specialist · San Luis Obispo, CA
Provider details
- NPI number
- 1861609414
- Entity type
- Individual
- Primary specialty
- Oncology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 15865 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
715 Tank Farm Road
Suite C
San Luis Obispo, CA 93401-7068
Phone: (805) 543-5577
Fax: (805) 595-3231
Approximate (ZIP-level) locationGet directions
Mailing address
117 West Bunny Avenue
Santa Maria, CA 93458-2805
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2021-12-23
- Certified
- 2021-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.