Individual provider · Type 1 NPI

Susan R. Johannsen, CNP

Gerontology Nurse Practitioner · Sioux Falls, SD

NPI number 1720080583 Active

Practice location

1200 S 7th Ave
Sioux Falls, SD 57105-0900

Call (605) 336-2140 Map

Fax (605) 336-1677

Mailing address

PO Box 86430
Sioux Falls, SD 57118-6430

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0221 (SD)
Gerontology Nurse Practitioner Primary 363LG0600XCP000110 (SD)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1720080583

Susan R. Johannsen, CNP's National Provider Identifier is 1720080583, issued on Aug 11, 2005. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Sioux Falls, SD. The record was last updated on Dec 29, 2015.