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Individual

SUZANNA AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, CNM

Contact information

Practice address
12303 NE 130TH LN STE CORAL225, KIRKLAND, WA 98034-3099
(425) 899-4012
Mailing address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(808) 393-1370

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN60449303
WA
367A00000X
Advanced Practice Midwife
Primary
AP61081030
WA

Other

Enumeration date
03/06/2019
Last updated
07/27/2020
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