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Individual

SUSAN A. BAERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
15 SW EVERETT MALL WAY, EVERETT, WA 98204-2715
(253) 681-6603
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00123673
WA
363L00000X
Nurse Practitioner
Primary
AP30005726
WA
363LF0000X
Family Nurse Practitioner
AP30005726
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0161865
L&I PIN
WA
01
0218660
LIWA
WA
01
15916U
REGENCE BLUE SHIELD PIN
WA
01
6068BA
BSWA
WA
05
9629916
WA
Enumeration date
06/19/2006
Last updated
09/25/2024
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