Susan Renee Correll, RN
Individual provider Active NPI Emergency Registered Nurse · Deer Park, WA
NPI 1053252015 · NPPES record last updated Apr 3, 2026
Key facts
- NPI
- 1053252015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- RN00103483 (WA)
- Practice address
- 6615 Saddle Mountain Way
Deer Park, WA 99006-6052 - Phone
- (509) 999-4902
- NPI assigned
- Apr 3, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00103483 | WA | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN00103483 | WA | Yes |
Addresses
Primary practice location
6615 Saddle Mountain Way
Deer Park, WA 99006-6052
Mailing address
6615 Saddle Mountain Way
Deer Park, WA 99006-6052
Phone (509) 999-4902
Other providers in Deer Park, WA
- Come to You Chiropractic, PLLC
- Community Health Association of Spokane
- Community Health Association of Spokane
- Community Health Association of Spokane
- Community Health Association of Spokane
- Rachael Marie Dalton
- Michael Kalani De Rosier
- Amelia Deboer
- Deer Park Counseling LLC
- Deer Park Dental PLLC
All providers in Deer Park, WA · Emergency Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.