Susan G Willis is a Family in Bellingham, Washington. Susan G Willis practices all healthcare services and medical treatments related to Family. The NPI Number for Susan G Willis is 1174544761. The last update date is 2012-07-24.
Susan G Willis's current location address is 2075 Barkley Blvd, Bellingham, Washington. You can contact this provider via phone number 3606713345 and fax number 3606501354. The mailing address for Susan G Willis is 2075 Barkley Blvd, Bellingham, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan G Willis |
|---|---|
| Address | 2075 Barkley Blvd, Bellingham, Washington |
| Phone Number | 3606713345 |
| Fax Number | 3606501354 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1174544761 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2012-07-24 |
Provider Mailing Address Detail
| Address | 2075 Barkley Blvd |
|---|---|
| City | Bellingham |
| State | Washington (WA) |
| Post Code | 982266614 |
| Phone Number | 3606713345 |
| Fax Number | 3606501354 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP30000325 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 423898016 | WA | GROUP HEALTH COOPERATIVE | |
| 9602970 | WA | -- | |
| 8925053 | WA | L & I (CRIME VICTIM) | |
| 192942512 | WA | US DEPT OF LABOR | |
| 128742 | WA | L & I (REGULAR) | |
| 25892 | WA | REGENCE BLUESHIELD | |
| 500013378 | WA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan G Willis?
The Susan G Willis has been issued the NPI (National Provider Identifier) 1174544761 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Susan G Willis is physically located?
The Susan G Willis is physically situated at the following address: 2075 Barkley Blvd, Bellingham, WA, 982266614.
What is the Susan G Willis's specialty and taxonomy code?
The Susan G Willis's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date was the 1174544761 assigned to Susan G Willis?
The Susan G Willis was issued its 1174544761 on 2006-07-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Susan G Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan G Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-07-24.