Chesley, Susan Lynn

Chesley, Susan Lynn is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2310. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Chesley, Susan Lynn can be contacted via phone (360) 636-4878.

Contact Information

Primary practice address
1615 Delaware St Longview WA 98632-2310
Fax: (360) 414-7457
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00148452 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30006417 Washington

Profile Details

NPI number 1417987975
LBN Legal business name Chesley, Susan Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 9th, 2007 - about 17 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 1417987975 NPPES
Washington Other 8943330 CRIME VICTIMS
Washington Other 200428 CRIME VICTIMS
Washington MEDICAID 299804 CRIME VICTIMS
Washington MEDICAID 9639105 CRIME VICTIMS

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