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Individual

SUSANNA FENSTERMACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-3463
Mailing address
4800 SAND POINT WAY NE # FA.2114, SEATTLE, WA 98105-3901

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
702653-1
NY
163W00000X
Registered Nurse
RN60712263
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60747458
WA

Other

Enumeration date
07/14/2016
Last updated
07/28/2017
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