Individual provider · Type 1 NPI

Susan Debolt, DNP

Nurse Practitioner · Apple Valley, MN

NPI number 1487405221 Active

Practice location

15350 English Ave
Apple Valley, MN 55124

Call (952) 431-8500 Map

Mailing address

8170 33rd Ave S, Ms 21110Q
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X35114 (TN)
Nurse Practitioner Primary 363L00000X11602 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1487405221

Susan Debolt, DNP's National Provider Identifier is 1487405221, issued on Mar 29, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Apple Valley, MN. The record was last updated on Oct 8, 2024.