Individual
JANE MARIE SUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
1900 CENTRACARE CIRCLE #2300, CENTRACARE CLINIC HEALTH PLAZA OBSTETRICS AND WOMENS HE, ST CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Mailing address
1900 CENTRACARE CIRCLE #2300, CENTRACARE CLINIC HEALTH PLAZA OBSTETRICS AND WOMENS HE, ST CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP0965
MN
363LW0102X
Women's Health Nurse Practitioner
R1172555
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0702328
MEDICA HEALTH PLANS
—
01
—
1029789
PREFERRED ONE
—
01
—
141210
U CARE
—
01
—
1531298
ARAZ GROUP AMERICAS PPO
—
01
—
55G91SU
BLUE CROSS BLUE SHIELD
—
01
—
COMP
CHAMPUS
—
01
—
HP34917
HEALTH PARTNERS
—
Enumeration date
11/04/2005
Last updated
03/04/2015
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