Individual
SUSAN MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
360 COLBORNE ST, SAINT PAUL, MN 55102-3299
(651) 632-3763
Mailing address
360 COLBORNE ST, SAINT PAUL, MN 55102-3299
(651) 632-3763
(651) 305-7157
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
1373655
MN
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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