Provider Demographics
NPI:1750720835
Name:STAPELY, SUZANNE MARY (RN)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:MARY
Last Name:STAPELY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5457 21ST AVENUE S.W.
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-1214
Mailing Address - Country:US
Mailing Address - Phone:206-930-0174
Mailing Address - Fax:206-763-3277
Practice Address - Street 1:5457 21ST AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-1412
Practice Address - Country:US
Practice Address - Phone:206-930-0174
Practice Address - Fax:206-763-3277
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00083361163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse