Individual
SUSAN K NUORALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
560 W MITCHELL ST, SUITE 500, PETOSKEY, MI 49770-2275
(231) 487-5700
Mailing address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-7939
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704169046
MI
Other
Enumeration date
01/03/2011
Last updated
02/15/2011
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