Individual
MS. SUSAN V SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
703 S WHITMAN AVE, ROSALIA, WA 99170
(509) 523-4950
(509) 523-4951
Mailing address
703 S WHITMAN AVE, ROSALIA, WA 99170
(509) 523-4950
(509) 523-4951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30004008
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9652371
—
WA
Enumeration date
11/01/2006
Last updated
03/27/2012
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