Provider Demographics
NPI:1770735854
Name:LYNN, SUSAN (ARNP)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:
Last Name:LYNN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W HAWTHORNE RD
Mailing Address - Street 2:WHITWORTH UNIVERSITY HEALTH CENTER
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99251-2515
Mailing Address - Country:US
Mailing Address - Phone:509-777-4259
Mailing Address - Fax:509-777-3763
Practice Address - Street 1:300 W HAWTHORNE RD
Practice Address - Street 2:WHITWORTH UNIVERSITY HEALTH CENTER
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99251-2515
Practice Address - Country:US
Practice Address - Phone:509-777-4259
Practice Address - Fax:509-777-3763
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30001937363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily