Individual
SUSAN ESTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Mailing address
PO BOX 650, DEVILS LAKE, ND 58301-0650
(701) 665-2200
(701) 665-2300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R24996
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054518
—
ND
Enumeration date
10/06/2006
Last updated
07/09/2007
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