Dana, Susan K

Dana, Susan K is an individual health care provider with primary practice located at 12728 19Th Ave Se Ste 200, Everett WA 98208-6526. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Dana, Susan K can be contacted via phone (425) 225-2700.

Contact Information

Primary practice address
12728 19Th Ave Se Ste 200 Everett WA 98208-6526
Phone: (425) 225-2700
Fax: (425) 225-2790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X AP30005758 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30005758 Washington

Profile Details

NPI number 1396771945
LBN Legal business name Dana, Susan K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jul 12th, 2016 - about 10 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 1396771945 NPPES
Washington MEDICAID 9629692

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