Provider Demographics
NPI:1407254980
Name:CLABOTS-SHEETS, SUSAN CAROLINE (RN ARNP FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:CAROLINE
Last Name:CLABOTS-SHEETS
Suffix:
Gender:F
Credentials:RN ARNP FNP-BC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:202 NORTH DIVISION ST PLAZA II SUITE 405
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-4939
Mailing Address - Country:US
Mailing Address - Phone:253-939-3604
Mailing Address - Fax:253-735-4167
Practice Address - Street 1:202 NORTH DIVISION ST PLAZA II SUITE 405
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-4939
Practice Address - Country:US
Practice Address - Phone:253-939-3604
Practice Address - Fax:253-735-4167
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WARN60043385163W00000X
WAAP60482275363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse