Individual
MRS. SUSAN POWERS BRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1200 N 14TH AVE, SUITE 245, PASCO, WA 99301-4182
(509) 547-9521
(509) 547-5983
Mailing address
1200 N 14TH AVE, SUITE 245, PASCO, WA 99301-4182
(509) 547-9521
(509) 547-5983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30000222
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9606419
—
WA
Enumeration date
11/06/2006
Last updated
01/08/2008
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