Suzette Widdison Iverson in Gig Harbor - Physician Assistant
Suzette Widdison Iverson - NPI 1144204173
Suzette Widdison Iverson is a Physician Assistant in Gig Harbor, Washington. Suzette Widdison Iverson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Suzette Widdison Iverson is 1144204173. The last update date is 2021-05-19.
Suzette Widdison Iverson's current location address is 4700 Point Fosdick Dr Ste 220, Gig Harbor, Washington. You can contact this provider via phone number 2538515121 and fax number 2538513059. The mailing address for Suzette Widdison Iverson is 4700 Point Fosdick Dr Ste 220, Gig Harbor, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzette Widdison Iverson |
|---|---|
| Address | 4700 Point Fosdick Dr Ste 220, Gig Harbor, Washington |
| Phone Number | 2538515121 |
| Fax Number | 2538513059 |
| Sole Proprietor | N |
| Credentials | MPH PAC |
NPI Number Detail
| NPI Number | 1144204173 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2021-05-19 |
Provider Mailing Address Detail
| Address | 4700 Point Fosdick Dr Ste 220 |
|---|---|
| City | Gig Harbor |
| State | Washington (WA) |
| Post Code | 983351706 |
| Phone Number | 2538515121 |
| Fax Number | 2538513059 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10004945 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 291728 | WA | L&I | |
| 8500191 | WA | -- | |
| G8907654 | WA | MEDICARE | |
| 239348 | WA | STATE L&I |
Post Comment/ Review Below
What is the unique identifier code issued to Suzette Widdison Iverson by the Centers for Medicare & Medicaid Services?
The Suzette Widdison Iverson has been assigned the NPI (National Provider Identifier) 1144204173. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Suzette Widdison Iverson is physically located?
The Suzette Widdison Iverson is situated at the following address: 4700 Point Fosdick Dr Ste 220, Gig Harbor, WA 983351706.
Could you please share the complete physical location address where Suzette Widdison Iverson's facilities are situated?
The facilities of Suzette Widdison Iverson are physically located at the following address: 4700 Point Fosdick Dr Ste 220, Gig Harbor, WA, 983351706.
On what date did the Suzette Widdison Iverson receive the assignment of its 1144204173 from the Centers for Medicare & Medicaid Services?
The Suzette Widdison Iverson was issued its 1144204173 by the Centers for Medicare & Medicaid Services on 2005-12-02.
When was the information regarding Suzette Widdison Iverson most recently updated?
The details pertaining to the Suzette Widdison Iverson, including its address, specialty, and other relevant information, were last refreshed on 2021-05-19.