Individual
MRS. SUSAN M. MCKILLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(866) 799-5886
Mailing address
1399 W PARK AVE, GILBERT, AZ 85233-5135
(480) 507-5715
(480) 633-8121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN067339
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383703
—
AZ
Enumeration date
12/21/2006
Last updated
07/06/2020
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