Susan Kelly Vantuinen, is a
Licensed Practical Nurse based in Ellensburg, Washington. Susan Kelly Vantuinen is licensed to practice in Washington (license number LP0005032) and her current practice location is
707 N Pearl St, Ellensburg, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 925-9861.
NPI number for Susan Kelly Vantuinen is 1508556721 and her current mailing address is 402 S 4th Ave, Yakima, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508556721.
Provider's Profile
Full Name | Susan Kelly Vantuinen |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 707 N Pearl St, Ellensburg, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508556721
- Provider Enumeration Date: 05/10/2023
- Last Update Date: 05/10/2023
Medical Identifiers
Medical identifiers for Susan Kelly Vantuinen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508556721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LP0005032 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Kelly Vantuinen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Susan Kelly Vantuinen, 402 S 4th Ave, Yakima, WA 98902-3546 Ph: (509) 575-4084 | Susan Kelly Vantuinen, 707 N Pearl St, Ellensburg, WA 98926-2938 Ph: (509) 925-9861 |
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