Individual
SUZANNE H SPROUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., M.S. PA-C
Contact information
Practice address
907 GEORGIANA ST, PORT ANGELES, WA 98362
(540) 818-8674
Mailing address
907 GEORGIANA ST, PORT ANGELES, WA 98362-3911
(360) 565-0999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008647
VA
363A00000X
Physician Assistant
PA60316417
WA
Other
Enumeration date
01/04/2011
Last updated
07/09/2025
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