Individual
SUZANNE L SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R-0898490
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247514600
—
MN
Enumeration date
01/04/2006
Last updated
08/05/2008
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