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Individual

SUSAN O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R091492-1
MN
363LP0200X
Pediatric Nurse Practitioner
R091492-1
MN

Other

Enumeration date
06/21/2016
Last updated
06/21/2016
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