Individual
SUZANNE K IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R083809-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261972500
—
MN
05
—
36086100
—
WI
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00448255
RAILROAD MEDICARE
MN
Enumeration date
01/31/2006
Last updated
02/22/2010
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