Individual
SUZANNE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
640 JACKSON STREET, ST PAUL, MN 55101-2502
(651) 254-3456
(651) 254-2502
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1261042
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442626600
—
MN
Enumeration date
03/14/2006
Last updated
11/06/2012
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