Watanabe, Suzan Jeanne

Watanabe, Suzan Jeanne is an individual health care provider with primary practice located at 11919 Ne 128Th St Suite C, Kirkland WA 98034-7204. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Watanabe, Suzan Jeanne can be contacted via phone (425) 899-5600.

Contact Information

Primary practice address
11919 Ne 128Th St Suite C Kirkland WA 98034-7204
Phone: (425) 899-5600
Fax: (425) 899-5603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP 30000483 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP 30000483 Washington

Profile Details

NPI number 1598845018
LBN Legal business name Watanabe, Suzan Jeanne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 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 1598845018 NPPES
Washington MEDICAID 9606690
Washington Other WA3359

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