Healthcare Provider Details

I. General information

NPI: 1689669533
Provider Name (Legal Business Name): SUSAN EILEEN MCFADDEN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2005
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 N RIVERPOINT BLVD
SPOKANE WA
99202-1610
US

IV. Provider business mailing address

310 N RIVERPOINT BLVD
SPOKANE WA
99202-1610
US

V. Phone/Fax

Practice location:
  • Phone: 509-505-7481
  • Fax: 509-606-2515
Mailing address:
  • Phone: 509-505-7481
  • Fax: 509-606-2515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAP30005888
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAP30005888
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: