Provider Demographics
NPI:1235101767
Name:AKULEY, SUZANNE A (MS, RD, CSSD, LD)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:A
Last Name:AKULEY
Suffix:
Gender:F
Credentials:MS, RD, CSSD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POPULATION HEALTH MANAGEMENT
Mailing Address - Street 2:9040 FITZSIMMONS AVENUE
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-0001
Mailing Address - Country:US
Mailing Address - Phone:253-968-4823
Mailing Address - Fax:253-968-0817
Practice Address - Street 1:POPULATION HEALTH MANAGEMENT
Practice Address - Street 2:9040 FITZSIMMONS AVENUE
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-4823
Practice Address - Fax:253-968-0817
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT05529133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered