Individual provider · Type 1 NPI
Susan Flannigan, RNCNP
Adult Health Nurse Practitioner · Chisago City, MN
NPI number
1659354793
Active
Practice location
Fairview Lakes Chisago Clinic, 11725 Stinson Ave
Chisago City, MN 55013-9540
Mailing address
25323 Pigeon Loft Rd NE
Stacy, MN 55079-3161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R 066120-3 (MN) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1659354793
Susan Flannigan, RNCNP's National Provider Identifier is 1659354793, issued on Nov 22, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Chisago City, MN. The record was last updated on Jul 8, 2007.