# SUSAN MALATESTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720402142
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 216470 | AK | — |
| 363LA2200X | Adult Health Nurse Practitioner | AP61016252 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 216470 | AK | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP61016252 | WA | Yes |

## Other

- **Enumeration date:** 02/05/2014
- **Last updated:** 03/21/2024