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Individual

SUSAN A NIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

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
07/13/2026
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