Individual provider · Type 1 NPI
Susan Wilson, PA-C
Pediatric Nurse Practitioner · Mount Vernon, WA
NPI number
1396709804
Active
Practice location
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Fax (360) 428-6485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | PA10000103 (WA) |
Pediatric Nurse Practitioner: Definition to come...
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Other pediatric nurse practitioner providers in Mount Vernon
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- Brianne Michelle Owings, ARNPPediatric Nurse Practitioner Mount Vernon, WA NPI 1710285945
About NPI 1396709804
Susan Wilson, PA-C's National Provider Identifier is 1396709804, issued on Apr 12, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mount Vernon, WA. The record was last updated on Jul 13, 2026.