Individual provider · NPI-1
Susan Renae Carlton, ARNP
Nurse Practitioner, Family · Rochester, WA
NPI number1710684105
StatusActive
Last updated in NPPESApr 25, 2023
Details
- NPI
- 1710684105
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan Renae Carlton
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2023
- Certification date
- Apr 25, 2023
- Last updated
- Apr 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP61410451 | WA | Yes |
| 207Q00000X | Family Medicine | AP61410451 | WA |
Practice location
18313 Paulson St Sw Ste ARochester, WA 98579-9262
Phone 360-827-8400
Mailing address
18313 Paulson St Sw Ste ARochester, WA 98579-9262
Phone 360-827-8400
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