Susan Ethel Girard, GNP
Nurse Practitioner, Gerontology in Edina, MN. Individual provider (NPI-1).
NPI number1114996949
StatusActive
Last updated in NPPESMay 12, 2008
Details
- NPI
- 1114996949
- Entity type
- Individual (NPI-1)
- Name
- Susan Ethel Girard
- Credential
- GNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2006
- Last updated
- May 12, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | R 0876438 | MN | Yes |
Practice location
3400 W 66th StSuite 400
Edina, MN 55435-2111
Phone 952-836-3637
Mailing address
3400 W 66th StSuite 400
Edina, MN 55435-2111
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All 28 Gerontology Nurse Practitioner providers in Edina · All 4,659 providers in Edina
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