Nordquist, Susan C

Nordquist, Susan C is an individual health care provider with primary practice located at 3902 13Th Ave S , Fargo ND 58103-3357. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nordquist, Susan C can be contacted via phone (701) 364-6600.

Contact Information

Primary practice address
3902 13Th Ave S Fargo ND 58103-3357
Fax: (701) 364-6628
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R25010 North Dakota

Profile Details

NPI number 1023164845
LBN Legal business name Nordquist, Susan C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Dec 28th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023164845 NPPES
Minnesota MEDICAID 1023164845

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