Individual provider · NPI-1
Suzanne Anderson
Nurse Practitioner, Family · Duluth, MN
NPI number1386838712
StatusActive
Last updated in NPPESFeb 28, 2019
Details
- NPI
- 1386838712
- Entity type
- Individual (NPI-1)
- Name
- Suzanne Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2007
- Last updated
- Feb 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R131946-0 | MN | Yes |
Practice location
619 W Central EntranceDuluth, MN 55811-5448
Phone 218-249-4987 · Fax 218-249-4989
Mailing address
619 W Central EntranceDuluth, MN 55811-5448
Phone 218-249-4987 · Fax 218-249-4989
Other practice locations
109 N 28th St E
Superior, WI 54880-6548
Superior, WI 54880-6548
Phone 715-395-3950 · Fax 715-395-3955
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