Individual
DR. SUSAN ELIZABETH CAVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD,ARNP,MA,BC
Contact information
Practice address
144 E JOHNSON AVE UNIT 1325, CHELAN, WA 98816-9484
(206) 369-3068
Mailing address
PO BOX 1325, CHELAN, WA 98816-1325
(206) 369-3068
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
AP30000933
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9605916
—
WA
Enumeration date
08/31/2006
Last updated
10/09/2023
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