Basic Information
| Provider Information | |||||||||
| NPI: | 1912947136 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | FROMHERZ | ||||||||
| FirstName: | SUZANNE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 732 SUMMITVIEW AVE # 621 | ||||||||
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| City: | YAKIMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 989023032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5095733448 | ||||||||
| FaxNumber: | 5095744481 | ||||||||
| Practice Location | |||||||||
| Address1: | 209 S 12TH AVE | ||||||||
| Address2: | |||||||||
| City: | YAKIMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 989023110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5095774600 | ||||||||
| FaxNumber: | 5095774619 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2006 | ||||||||
| LastUpdateDate: | 10/06/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | AP30005856 | WA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363L00000X | AP30005856 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.