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Individual

SUSAN L. WILLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-0060
(206) 625-7245
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-0060
(206) 625-7245

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00133454
WA
363L00000X
Nurse Practitioner
Primary
AP30005527
WA
363LG0600X
Gerontology Nurse Practitioner
AP30005527
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0177835
LABOR & INDUSTRY
WA
05
9639667
WA
Enumeration date
07/17/2006
Last updated
02/12/2018
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