Dan Su, FNP-C
Nurse Practitioner, Family in Bellevue, WA. Individual provider (NPI-1).
NPI number1932829405
StatusActive
Last updated in NPPESSep 2, 2022
Details
- NPI
- 1932829405
- Entity type
- Individual (NPI-1)
- Name
- Dan Su
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 2, 2022
- Certification date
- Sep 2, 2022
- Last updated
- Sep 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP61338605 | WA | Yes |
Practice location
1515 116th Ave NeBellevue, WA 98004-3811
Phone 425-349-0273
Mailing address
1741 12th Ave NeIssaquah, WA 98029-6923
Phone 786-566-6221
Other practice locations
7815 Center Blvd Se
Snoqualmie, WA 98065-9096
Snoqualmie, WA 98065-9096
Phone 425-582-5062
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