Individual
SUSANNE MARIA WHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
4 DEERWOOD AVE NW, WADENA, MN 56482-1253
(218) 631-1360
(218) 631-7571
Mailing address
4 DEERWOOD AVE NW, WADENA, MN 56482-1253
(218) 631-1360
(218) 631-7571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0798707
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
776170800
—
MN
Enumeration date
09/09/2005
Last updated
07/25/2011
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