Individual
MS. SUSANNE MARIE OTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LSN, BSN, PHN
Contact information
Practice address
4801 W 41ST ST, ST LOUIS PARK, MN 55416-3245
(952) 928-6674
(952) 928-6713
Mailing address
4801 W 41ST ST, ST LOUIS PARK, MN 55416-3245
(952) 928-6674
(952) 928-6713
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
2467070
MN
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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