Provider Demographics
NPI:1447956479
Name:SOLOMON-HOPKINS, SUSAN DAWN (APRN)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:DAWN
Last Name:SOLOMON-HOPKINS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:WA
Mailing Address - Zip Code:99140-0308
Mailing Address - Country:US
Mailing Address - Phone:832-414-8283
Mailing Address - Fax:
Practice Address - Street 1:39 SHORTCUT RD.
Practice Address - Street 2:
Practice Address - City:INCHELIUM
Practice Address - State:WA
Practice Address - Zip Code:99138
Practice Address - Country:US
Practice Address - Phone:832-414-8283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61385495163W00000X
WA61403081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse