Individual
SUSAN MARIE SAWYER-DEMARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, CNS
Contact information
Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R092426-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
587445000
—
MN
01
—
890000401
MEDICARE
MN
Enumeration date
01/19/2007
Last updated
07/21/2022
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