Individual
SUSAN PARRY RITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APNP-BC
Contact information
Practice address
2450 26TH AVE S, MINNEAPOLIS, MN 55406-1245
(612) 728-2455
(612) 728-2401
Mailing address
8202 W 132ND ST, SAVAGE, MN 55378-2553
(952) 220-0250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R 95529-4
MN
363LG0600X
Gerontology Nurse Practitioner
81970-030
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
R 95529-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90521900
—
MN
Enumeration date
07/07/2006
Last updated
11/15/2013
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