SUAH PARK
Nurse Practitioner - Family
Active
Individual
NPI: 1316563091
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse - Medical-Surgical | 163WM0705X | No | 0001286995 (VA) |
| Nurse Practitioner - Family | 363LF0000X | No | 0024179524 (VA) |
Frequently Asked Questions
NPI 1316563091 is the National Provider Identifier for SUAH PARK, a Nurse Practitioner - Family provider located in Lakewood, WA. This NPI was enumerated on June 18, 2020.
SUAH PARK practices at 8725 S TACOMA WAY, Lakewood, WA 98499.
Quick Facts
- NPI
- 1316563091
- Type
- Individual
- Enumerated
- Jun 18, 2020
- Last Updated
- Jan 18, 2021
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