Individual
SUSAN JANE SWENDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS, RN, MS
Contact information
Practice address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 728-4491
(218) 728-4404
Mailing address
1401 EAST FIRST STREET, DULUTH, MN 55805
(218) 728-4491
(218) 728-4404
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R056479-5
MN
363L00000X
Nurse Practitioner
Primary
0209150-01
MN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
R056479-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211525500
—
MN
Enumeration date
09/25/2006
Last updated
11/19/2013
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