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Individual
SUSAN L. WILLARD
Active
Individual
SUSAN L. WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00133454
WA
363L00000X
Nurse Practitioner
Primary
AP30005527
WA
363LG0600X
Gerontology Nurse Practitioner
AP30005527
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177835
LABOR & INDUSTRY
WA
05
—
9639667
—
WA
Enumeration date
07/17/2006
Last updated
02/12/2018
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