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Individual

SUSAN CUNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16201 90TH ST NE, SUITE 200, OTSEGO, MN 55330-7463
(763) 746-9492
Mailing address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP 5006
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5006
MN

Other

Enumeration date
02/10/2017
Last updated
01/08/2021
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