Organization
SUSAN G. TAYLOR, CRNA CORP
Active
Other names
Susan G. Taylor, CRNA
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN G TAYLOR CRNA (PRESIDENT)
(360) 653-3588
Entity
Organization
Contact information
Practice address
7525 69TH AVE NE, MARYSVILLE, WA 98270-7788
(360) 653-3588
Mailing address
PO BOX 2329, MOUNT VERNON, WA 98273-7329
(360) 336-6517
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005906
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0226583
DEPARTMENT OF LABOR AND INDUSTRIES
WA
01
—
1675TA
REGENCE BLUE SHIELD
WA
01
—
1678TA
REGENCE BLUE SHIELD
WA
01
—
1687TA
REGENCE BLUE SHIELD
WA
01
—
1699TA
REGENCE BLUE SHIELD
WA
05
—
9654377
—
WA
Enumeration date
09/26/2007
Last updated
05/22/2008
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