person
Susan Wilson, PA-C
Pediatric Nurse Practitioner in Mount Vernon, Washington
NPI 1396709804

Susan Wilson is a Pediatric Nurse Practitioner based in Mount Vernon, WA and is specialized in Pediatrics. Susan Wilson practices in Mount Vernon, WA and has the professional credentials of PA-C. The NPI Number for Susan Wilson is 1396709804 and holds a License No. PA10000103 (Washington).

The current practice location address for Susan Wilson is 1400 E Kincaid St, Mount Vernon, WA and can be reached out via phone at 360-428-2500 and via fax at 360-428-6485. You can also correspond with Susan Wilson through the mailing address at 1400 E KINCAID ST, MOUNT VERNON, WA - 98274-4127 (mailing address contact number: 360-428-2500).

Location: 1400 E Kincaid St, Mount Vernon, WA, 98274-4127
person
Provider Profile Details
NPI Number
1396709804
Provider Name
Susan Wilson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1400 E Kincaid St, Mount Vernon, WA, 98274-4127
Phone Number
360-428-2500
Fax Number
360-428-6485
Provider Enumeration Date
04/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8354672 05 WA
institution
Provider Business Practice Location Address Details
Address
1400 E Kincaid St
City
State
Zip
98274-4127
Phone Number
360-428-2500
Fax Number
360-428-6485
person
Provider Business Mailing Address Details
Address
1400 E Kincaid St
City
State
Zip
98274-4127
Phone Number
360-428-2500
Fax Number
360-428-6485
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
PA10000103 (Washington)
Definition
Definition to come...
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