Suzanne K Bladek
Nurse Practitioner - Adult Health
355 Nw Richmond Beach Rd
Shoreline
, Washington 98177-3101
Suzanne K Bladek
Nurse Practitioner - Adult Health
355 Nw Richmond Beach Rd
Shoreline
, Washington 98177-3101
(206) 546-6575
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Suzanne K Bladek
- 355 Nw Richmond Beach Rd
- Shoreline, WA
- Zip : 98177-3101
- Fax : (206) 546-6575
- Phone : (206) 546-5181
Second Address
- Suzanne K Bladek
- 355 Nw Richmond Beach Rd
- Shoreline, WA
- Zip : 98177-3101
- Fax : (206) 546-6575
- Phone : (206) 546-5181
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | AP30003959 | WA |
National Provider Identifier
| NPI | 1033218797 |
|---|---|
| Provider Name | Suzanne K Bladek |
| First Address | Shoreline, WA 98177-3101 |
| Second Address | Shoreline, WA 98177-3101 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 05/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 9619313 | (05) | WA |
| P00420668 | RAILROAD MEDICARE (01) | WA |
| S46497 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.