Individual
SUSAN LYNN CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4405 7TH AVE SE STE 200, LACEY, WA 98503-1055
(360) 504-6128
(903) 213-9044
Mailing address
4570 AVERY LN SE STE C-372, LACEY, WA 98503-5608
(360) 207-0105
(903) 213-9044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP60252120
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60252120
WA
Other
Enumeration date
11/16/2011
Last updated
01/05/2024
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