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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528271467 | NPPES |
| Washington | MEDICAID | 2032800 |
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