Individual
MRS. SUSAN S. URRUTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(941) 747-5474
Mailing address
608 51ST ST NW, BRADENTON, FL 34209-1930
(941) 737-1667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1170532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307545100
—
FL
Enumeration date
06/06/2006
Last updated
06/26/2020
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