Individual
SUSAN J MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
535 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 243-2600
Mailing address
8170 33RD AVE S, MS: 21110Q, BLOOMINGTON, MN 55425
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3315
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401004
MEDICA
MN
01
—
1010196
PREFERREDONE
MN
01
—
151526
UCARE MN
MN
01
—
1552595
AMERICA'S PPO
MN
01
—
16A22MC
BLUE CROSS BLUE SHIELD MN
MN
05
—
239823100
—
MN
05
—
43940000
—
WI
01
—
HP32938
HEALTHPARTNERS
MN
Enumeration date
03/14/2006
Last updated
04/20/2021
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