Individual
MRS. JULIE ANN SUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
3931 LOUISIANA AVE S, STE E400, SAINT LOUIS PARK, MN 55426-5000
(952) 993-3230
(952) 993-1748
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 993-3230
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP 2617
MN
363LA2100X
Acute Care Nurse Practitioner
R164182-4
MN
Other
Enumeration date
10/03/2010
Last updated
03/04/2016
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