# SPURGEON CREEK PSYCHIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942084215
- **Authorized official:** SUSAN LYNN CUMMINGS ARNP (PRINCIPAL)
- **Authorized official phone:** (360) 270-0105

## Contact information

- **Practice address:** 4405 7TH AVE SE STE 200, LACEY, WA 98503-1055
- **Practice address phone:** (360) 504-6128
- **Mailing address:** 4570 AVERY LN SE STE C-372, LACEY, WA 98503-5608
- **Mailing address phone:** (360) 504-6128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2023
- **Last updated:** 01/05/2024