Individual
SUESUE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2490 S WOODWORTH LOOP, PALMER, AK 99645-7410
(907) 861-6315
(907) 861-6533
Mailing address
2490 S WOODWORTH LOOP, PALMER, AK 99645-7410
(907) 841-7117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
24760
AK
363L00000X
Nurse Practitioner
Primary
204029
AK
Other
Enumeration date
01/18/2023
Last updated
02/22/2023
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