Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A143977 | CA |
N | 208000000X | Pediatrician | MD60862298 | WA |
Y | 2080P0216X | Pediatric Rheumatologist | MD60862298 | WA |
NPI | 1144614421 |
---|---|
Provider Name | Dr. Susan Priscilla Canny |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 02/06/2021 |