Individual
SUZANNE K BLADEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
355 NW RICHMOND BEACH RD, SHORELINE, WA 98177-3101
(206) 546-5181
(206) 546-6575
Mailing address
355 NW RICHMOND BEACH RD, SHORELINE, WA 98177-3101
(206) 546-5181
(206) 546-6575
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30003959
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9619313
—
WA
01
—
P00420668
RAILROAD MEDICARE
WA
Enumeration date
09/21/2006
Last updated
04/05/2010
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