Nordstrom, Susan I

Nordstrom, Susan I is an individual health care provider with primary practice located at 915 E 1St St , Duluth MN 55805-2107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Nordstrom, Susan I can be contacted via phone (218) 249-5555.

Contact Information

Primary practice address
915 E 1St St Duluth MN 55805-2107
Phone: (218) 249-5555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0998743 Minnesota

Profile Details

NPI number 1780637793
LBN Legal business name Nordstrom, Susan I
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Dec 18th, 2020 - about 6 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 1780637793 NPPES
Minnesota MEDICAID 970321700

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