Individual
SUZANNE R FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3793
(612) 596-0841
(612) 879-3823
Mailing address
10005 RUSSELL AVE N, BROOKLYN PARK, MN 55444-1046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R129776-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
NO OTHER NUMBERS ASSIGNED
—
Enumeration date
01/12/2007
Last updated
07/08/2007
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