Provider Demographics
NPI:1609115393
Name:SCHIPPMAN, SUSAN (ARNP, BC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:SCHIPPMAN
Suffix:
Gender:F
Credentials:ARNP, BC
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8817 E MISSION AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-5055
Mailing Address - Country:US
Mailing Address - Phone:509-241-3742
Mailing Address - Fax:509-474-9857
Practice Address - Street 1:8817 E MISSION AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-5055
Practice Address - Country:US
Practice Address - Phone:509-241-3742
Practice Address - Fax:509-474-9857
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60313801363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily