Individual
SUSAN MARIE KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2124 4TH AVE, SEATTLE, WA 98121-2308
(206) 296-4960
Mailing address
312 N 48TH ST, SEATTLE, WA 98103-6321
(206) 781-3287
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30001561
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9633165
—
WA
Enumeration date
10/02/2006
Last updated
07/08/2007
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