Individual
SUSAN KATHERINE VAN HEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
Mailing address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R144242-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R144242-1
MN RN LICENSE
MN
Enumeration date
07/12/2007
Last updated
07/21/2022
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