Individual
SUZANNE KAY FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1821 N PARK ST, FERGUS FALLS, MN 56537-1247
(218) 739-1400
(218) 739-1401
Mailing address
43150 SHENANDOAH LOOP, DENT, MN 56528-9046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R069132-5
MN
363LF0000X
Family Nurse Practitioner
R14864
ND
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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