Individual provider · Type 1 NPI

Susan J. Humphrey, CNNP

Critical Care Neonatal Nurse Practitioner · Minneapolis, MN

NPI number 1790840544 Active

Practice location

2525 Chicago Avenue South, Childrens Specialty Clinic Nicu Mpls
Minneapolis, MN 55404

Fax (612) 813-6949

Mailing address

2910 Centre Pointe Drive, 35121A Childrens Health Care
Roseville, MN 55113

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner 363LN0000XR0878944 (MN)
Critical Care Neonatal Nurse Practitioner Primary 363LN0005XR0878944 (MN)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1790840544

Susan J. Humphrey, CNNP's National Provider Identifier is 1790840544, issued on Dec 22, 2006. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 11, 2025.