Individual
SUSAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(860) 494-5784
Mailing address
341 RYE ST, BROAD BROOK, CT 06016-9563
(869) 798-7413
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
006690
CT
Other
Enumeration date
08/19/2016
Last updated
03/04/2021
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