Individual
SUSAN M BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1330 ROCKEFELLER AVE, SUITE 310, EVERETT, WA 98201-1684
(425) 261-4925
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006434
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP30006434
WSL
WA
Enumeration date
08/31/2006
Last updated
04/16/2021
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