Individual
SUZANNA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
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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