Individual
SUSAN SLOCUM O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, PMHNP
Contact information
Practice address
680 STEWART AVE, SAINT PAUL, MN 55102
(866) 261-3734
Mailing address
680 STEWART AVE, SAINT PAUL, MN 55102-4117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2455378
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6035
MN
Other
Enumeration date
07/11/2018
Last updated
01/09/2019
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