| Doctor Name: | MRS. SUZANNE SELLEY MARTINCAK |
| NPI Number: | 1003869173 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNM, FNP, ARNP |
| License Number: | 60410254 |
| Business Practice Address: | 17 S Western Ave Tonasket, WA - 988559270 |
| Business Phone Number: | 5094862174 |
| Business Fax Number: | 5094861189 |
| Mailing Address: | 17 S Western Ave, TONASKET |
| State: | WA |
| Postal Code: | 988559270 |
| Phone Number: | 5094862174 |
| Fax Number: | 5094861189 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 10/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 60410254 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |