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Contact Information

SUSAN A BAERG, ARNP
15 SW EVERETT MALL WAY
EVERETT, WA98204-2715
 Phone: 253-681-6603
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SUSAN A BAERG · (Female)

NPI Number 1255376596
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/19/2006
Last updated 09/25/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • WA License # AP30005726
  • WA License # RN00123673
  • WA Medicaid 9629916
  • WA Other 6068BA BSWA
  • WA Other 0161865 L&I PIN
  • WA Other 0218660 LIWA
  • WA Other 15916U REGENCE BLUE SHIELD PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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