SUSAN COOLBAUGH NURSE PRACTITIONER NPI 1154445666

NPI Information

NPI: 1154445666
Provider Name: SUSAN COOLBAUGH, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
6212 75TH ST W
LAKEWOOD, WA
ZIP 98499
Phone: (253) 983-8507
Get Directions

Susan Coolbaugh, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Lakewood, WA. Susan Coolbaugh, NURSE PRACTITIONER NPI is 1154445666. 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:

6212 75TH ST W
LAKEWOOD, WA
ZIP 98499-368
Phone: (253) 983-8507
Fax: (253) 983-8576

The enumeration date for this NPI number is 3/19/2007 and was last updated on 7/8/2007.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP30004202	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	AB29819	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON

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: 5/5/2024

NPI Synchronization or Removal

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