SUSAN G WILLIS ARNP NPI 1174544761

NPI Information

NPI: 1174544761
Provider Name: SUSAN G WILLIS, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2075 BARKLEY BLVD
SUITE 105
BELLINGHAM, WA
ZIP 98226
Phone: (360) 671-3345
Get Directions

Susan G Willis, ARNP is a family nurse practitioner in Bellingham, WA. Susan G Willis, ARNP NPI is 1174544761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2075 BARKLEY BLVD
SUITE 105
BELLINGHAM, WA
ZIP 98226-614
Phone: (360) 671-3345
Fax: (360) 650-1354

The enumeration date for this NPI number is 7/21/2006 and was last updated on 7/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP30000325	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8925053	OTHER	WASHINGTON	L & I (CRIME VICTIM)
2	0128742	OTHER	WASHINGTON	L & I (REGULAR)
3	192942512	OTHER	WASHINGTON	US DEPT OF LABOR
4	S87036	MEDICARE UPIN	WASHINGTON
5	0500013378	OTHER	WASHINGTON	RAILROAD MEDICARE
6	9602970	MEDICAID	WASHINGTON
7	GAB10861	MEDICARE PIN	WASHINGTON
8	423898016	OTHER	WASHINGTON	GROUP HEALTH COOPERATIVE
9	25892	OTHER	WASHINGTON	REGENCE BLUESHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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