Individual
SUSAN G TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ARNP, CRNA
Contact information
Practice address
1020 SAMISH WAY, BELLINGHAM, WA 98229-3104
(425) 231-5293
Mailing address
PO BOX 2329, MOUNT VERNON, WA 98273-7329
(509) 529-9876
(509) 593-5024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
23815
ID
163W00000X
Registered Nurse
RN00105586
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005906
WA
367500000X
Certified Registered Nurse Anesthetist
RNA-340
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000500
—
WA
05
—
1023017043
—
ID
05
—
9633538
—
WA
Enumeration date
07/20/2005
Last updated
12/17/2020
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