Individual
SUSAN T PAETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30005131
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039577
LABOR AND INDUSTRIES #
WA
01
—
500017541
RAILROAD MEDICARE
WA
01
—
8429PA
BLUE SHIELD #
WA
05
—
9625781
—
WA
05
—
NP585WA
—
AK
01
—
US2324679
AETNA SPECIALIST PIN
WA
Enumeration date
02/02/2007
Last updated
11/26/2013
Update your record
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