Individual provider · Type 1 NPI
Susan Victoria Ross, NP-C
Family Nurse Practitioner · Detroit Lakes, MN
NPI number
1548830524
Active
Practice location
1027 Washington Ave
Detroit Lakes, MN 56501-3409
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1832853 (MN) |
| Family Nurse Practitioner Primary | 363LF0000X | 8321 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1548830524
Susan Victoria Ross, NP-C's National Provider Identifier is 1548830524, issued on Jun 30, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Jul 21, 2022.