Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSANNE LAKE
ActiveSUSANNE LAKE is a Home Health Aide healthcare provider located in PORT TOWNSEND, Washington. NPI 1205605482 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · PORT TOWNSEND, WA
Registration Details
- NPI Number
- 1205605482
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2023 (2.4394927326082 yrs)
- Last Updated
- Dec 28, 2023
- License
-
NC10065743 (WA)
Practice Information
- Address
-
2500 W SIMS WAY STE 300PORT TOWNSEND, WA, 983682234Browse WA providers · Browse ZIP 98368
- Phone
- 3603850610
- Primary Specialty
-
Home Health Aide
374U00000X
Other Home Health Aide Providers in PORT TOWNSEND, WA
| Name | Credential | NPI |
|---|---|---|
| SANDRA MICHELLE ANDERSON | CNA | 1326815390 |
| ROXANA VIDALS | — | 1912776170 |
| LOVENESS TRUDY KAFAMBA | — | 1841011574 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.