Individual
SUZANNE SCHULKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 12TH AVE RD, NAMPA, ID 83686-6008
(208) 205-0730
Mailing address
18906 SMILEY PEAK AVE, NAMPA, ID 83687-5076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28885
ID
163W00000X
Registered Nurse
Primary
RN00127818
WA
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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