Suah Park
Suah Park is a Medical-Surgical Registered Nurse in Lakewood, Washington. Licensed in Virginia and Washington. Registered with an NPI since 2020.
- Licensed in
- VA, WA
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
8725 S Tacoma WayLakewood, WA 98499-4544
Phone: (253) 535-5552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence AP61084806 (WA) |
|---|---|
| Medical-Surgical Registered Nurse | Taxonomy 163WM0705X · Licence 0001286995 (VA) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 0024179524 (VA) |
Record details
| NPI number | 1316563091 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 18, 2020 |
| Last updated in NPPES | January 18, 2021 |
| Certification date | January 18, 2021 |
| Mailing address | 5207 88th Street Ct Sw Apt E207, Lakewood, WA 98499-3176 |