Individual
SUSAN ELIZABETH MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.
Contact information
Practice address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 752-5673
Mailing address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 752-5673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30007567
WA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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