Individual
SUSANNA R MIREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13451 SE 36TH ST, BELLEVUE, WA 98006-1475
(425) 562-1337
(425) 562-1331
Mailing address
971 11TH AVE, LONGVIEW, WA 98632-2503
(360) 577-1771
(360) 423-1405
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60223340
WA
Other
Enumeration date
06/14/2011
Last updated
04/21/2021
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