| Doctor Name: | SUZANNE K BLADEK |
| NPI Number: | 1033218797 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC |
| License Number: | AP30003959 |
| Business Practice Address: | 355 Nw Richmond Beach Rd Shoreline, WA - 981773101 |
| Business Phone Number: | 2065465181 |
| Business Fax Number: | 2065466575 |
| Mailing Address: | 355 Nw Richmond Beach Rd, SHORELINE |
| State: | WA |
| Postal Code: | 981773101 |
| Phone Number: | 2065465181 |
| Fax Number: | 2065466575 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 04/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP30003959 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |