Healthcare Provider Details

I. General information

NPI: 1750534665
Provider Name (Legal Business Name): SUSANNE STOKES M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSANNE BENSON

II. Dates (important events)

Enumeration Date: 10/23/2008
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3056 E SANDMAN CIRCLE
WASILLA AK
99654
US

IV. Provider business mailing address

PO BOX 870142
WASILLA AK
99687
US

V. Phone/Fax

Practice location:
  • Phone: 907-352-8279
  • Fax:
Mailing address:
  • Phone: 907-355-7179
  • Fax: 907-352-8280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number65
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: