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Individual
SUSAN A. BAERG
Active
Individual
SUSAN A. BAERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00123673
WA
363L00000X
Nurse Practitioner
Primary
AP30005726
WA
363LF0000X
Family Nurse Practitioner
AP30005726
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161865
L&I PIN
WA
01
—
0218660
LIWA
WA
01
—
15916U
REGENCE BLUE SHIELD PIN
WA
01
—
6068BA
BSWA
WA
05
—
9629916
—
WA
Enumeration date
06/19/2006
Last updated
09/25/2024
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