Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | RTL 122324 | NC |
Y | 111NI0900X | Internist | RTL 122324 | NC |
N | 208000000X | Pediatrician | RTL 122324 | NC |
NPI | 1003099821 |
---|---|
Provider Name | Dr. Susan Hunt |
First Address | Seattle, WA 98195-6429 |
Second Address | Seattle, WA 98195-6429 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2007 |
Last Update Date | 09/04/2012 |