MEDICARE: MS. SUSAN F. RODGERS ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN00094551	WA
2	363LF0000X	Family Nurse Practitioner		WA

General Provider Information

NPI Number	:	1578597118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUSAN F. RODGERS ARNP

Provider Business Mailing Address
First Line	:	516 HIGH ST
Second Line	:	WWU STUDENT HEALTH CENTER
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-5946
Country	:	US
Telephone Number	:	360-650-3400
Fax Number	:	360-650-3883

Provider Business Practice Location Address
First Line	:	516 HIGH ST
Second Line	:	WWU STUDENT HEALTH CENTER
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-5946
Country	:	US
Telephone Number	:	360-650-3400
Fax Number	:	360-650-3883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	09/11/2025

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