Individual
SUE D. MACDONALD
Active
Individual
SUE D. MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30004109
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30004109
WA
363LG0600X
Gerontology Nurse Practitioner
AP30004109
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157905
L&I PIN
WA
01
—
87218U
REGENCE BLUE SHIELD PIN
WA
05
—
9623760
—
WA
Enumeration date
07/04/2006
Last updated
05/23/2013
Update your record
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