MEDICARE: MS. SUZANNE LYNN KOLPIN RN

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	163WS0200X	School Registered Nurse	2477745	MN

General Provider Information

NPI Number	:	1679420301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUZANNE LYNN KOLPIN RN

Provider Business Mailing Address
First Line	:	820 ROOSEVELT ST
Second Line	:
City	:	RIVER FALLS
State	:	WI
Zip	:	54022-1246
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 GENERAL SIEBEN DR
Second Line	:
City	:	HASTINGS
State	:	MN
Zip	:	55033-2486
Country	:	US
Telephone Number	:	651-480-7486
Fax Number	:

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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