Cucciardi, Susan Lynn

Cucciardi, Susan Lynn is an individual health care provider with primary practice located at 2011 Nw Myhre Pl , Silverdale WA 98383-8561. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cucciardi, Susan Lynn can be contacted via phone (360) 830-1706.

Contact Information

Primary practice address
2011 Nw Myhre Pl Silverdale WA 98383-8561
Phone: (360) 830-1706
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.60427957 Washington

Profile Details

NPI number 1528271467
LBN Legal business name Cucciardi, Susan Lynn
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Mar 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528271467 NPPES
Washington MEDICAID 2032800

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