Healthcare Provider Details

I. General information

NPI: 1316813058
Provider Name (Legal Business Name): SUZANNE SEDLMAJER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUZANNE DYE

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 1ST ST SW
ROCHESTER MN
55905-0002
US

IV. Provider business mailing address

4880 PINES VIEW PL NW UNIT 336
ROCHESTER MN
55901-3374
US

V. Phone/Fax

Practice location:
  • Phone: 507-293-1705
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number160775
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: