Provider Demographics
NPI:1023433950
Name:KUZNETZ, SUZANNA (RN)
Entity type:Individual
Prefix:
First Name:SUZANNA
Middle Name:
Last Name:KUZNETZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SUZANNA
Other - Middle Name:
Other - Last Name:KUZNETZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RND
Mailing Address - Street 1:4717 S PITTSBURG ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-6556
Mailing Address - Country:US
Mailing Address - Phone:509-879-1372
Mailing Address - Fax:509-448-3691
Practice Address - Street 1:4717 S PITTSBURG ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-6556
Practice Address - Country:US
Practice Address - Phone:509-879-1372
Practice Address - Fax:509-448-3691
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-01
Last Update Date:2014-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00060548163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA163W00000XOtherNURSING SERVICE PROVIDER, REGISTERED NURSE (NURSE DELEGATION)