Individual
SUSAN A NIXON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2203
(612) 904-4273
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6005
(612) 630-8242
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
03425
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-40110
MEDICA
MN
01
—
116092
UCARE
MN
01
—
46G40NI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
04/25/2006
Last updated
07/08/2007
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