Individual
MS. SUSAN E. NELSON
Active
Individual
MS. SUSAN E. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
90758-030
WI
363LF0000X
Family Nurse Practitioner
Primary
R079952-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-02574
MEDICA
MN
01
—
123406
UCARE MINNESOTA
MN
01
—
18G97NE
BLUE CROSS
MN
01
—
21934
AMERICA'S PPO
MN
01
—
HP28178
HEALTH PARTNERS
MN
01
—
NA9141020807
PREFERRED ONE
MN
Enumeration date
05/05/2006
Last updated
04/09/2008
Update your record
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