Individual
SUSAN C DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
12 S 8TH ST, YAKIMA, WA 98901-3020
(509) 454-4143
(509) 454-3651
Mailing address
PO BOX 2605, YAKIMA, WA 98907-2605
(509) 454-4143
(509) 454-3651
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP60003340
WA
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30001811
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8107823
—
WA
01
—
G8898132
PTAN
WA
Enumeration date
11/08/2006
Last updated
08/30/2012
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