Individual provider · Type 1 NPI

Susan Ann Demeulenaere, NP

Nurse Practitioner · Minneapolis, MN

NPI number 1689662272 Active

Practice location

920 2nd Ave S, Suite 400
Minneapolis, MN 55402-3318

Mailing address

2601 Electric Ave, Suite 400
Port Huron, MI 48060-6587

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704190745 (MI)

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 1689662272

Susan Ann Demeulenaere, NP's National Provider Identifier is 1689662272, issued on Oct 9, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 20, 2016.