Individual
MS. SUSAN LOUISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1509 32ND ST, EVERETT, WA 98201-4302
(425) 339-3389
Mailing address
310 58TH ST SE, EVERETT, WA 98203-3546
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP30003879
WA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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