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Organization
SPURGEON CREEK PSYCHIATRY PLLC
Active
Organization
SPURGEON CREEK PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LYNN CUMMINGS ARNP (PRINCIPAL)
(360) 270-0105
Entity
Organization
Contact information
Practice address
4405 7TH AVE SE STE 200, LACEY, WA 98503-1055
(360) 504-6128
Mailing address
4570 AVERY LN SE STE C-372, LACEY, WA 98503-5608
(360) 504-6128
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
01/05/2024
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