Susan J Humphrey CNNP

NPI 1790840544 - Nurse Practitioner - 363LN0000X

NPI Details
NPI 1790840544
Gender Female
Enumeration Date 12/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2525 CHICAGO AVENUE SOUTH
CHILDRENS SPECIALTY CLINIC NICU MPLS
MINNEAPOLIS MN, 55404, US
Phone (612) 813-6295
Fax (612) 813-6949
Business Location
2910 CENTRE POINTE DRIVE
35121A CHILDRENS HEALTH CARE
ROSEVILLE MN, 55113, US
Phone (651) 855-2327
Fax (651) 855-2310
Toxanomy
Taxonomy Code 363LN0000X
License State Minnesota
License Number R0878944
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According to our database, Susan J Humphrey CNNP NPI is 1790840544, taxonomy code is 363LN0000X and license number is R0878944, license state is located at Minnesota. Susan J Humphrey CNNP physically located at 2525 Chicago Avenue South, Minneapolis MN, 55404. NPI Number Susan J Humphrey CNNP has the Individual type.

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1790840544 NPI number is provided on an as is basis without warranty of any kind. 1790840544 is maintained by the National Plan & Provider Enumeration System. The contents of Susan J Humphrey CNNP are for informational purposes only.