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NPI Code Detail

MEDICARE: SUSAN DUNN CNP

MEDICARE: SUSAN DUNN CNP
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
1163W00000XRegistered NurseR105848-8MN
2363LF0000XFamily Nurse Practitioner4465MN

General Provider Information

NPI Number : 1932163052
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN DUNN CNP
Provider Business Mailing Address
First Line : 1313 PENN AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-3047
Country : US
Telephone Number : 612-543-2558
Fax Number :
Provider Business Practice Location Address
First Line : 1313 PENN AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-3047
Country : US
Telephone Number : 612-543-2558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 07/21/2022

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