Individual
MS. SUZAN JEANNE WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11919 NE 128TH ST, SUITE C, KIRKLAND, WA 98034-7204
(425) 899-5600
(425) 899-5603
Mailing address
11919 NE 128TH ST, SUITE C, KIRKLAND, WA 98034-7204
(425) 899-5600
(425) 899-5603
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
AP 30000483
WA
367A00000X
Advanced Practice Midwife
Primary
AP 30000483
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9606690
—
WA
01
—
WA3359
REGENCE
WA
Enumeration date
10/17/2006
Last updated
09/11/2025
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