Individual provider · Type 1 NPI

Susan Queen Djavedan I

Registered Nurse · Minneapolis, MN

NPI number 1790921732 Active

Practice location

4100 Upton Ave N
Minneapolis, MN 55412-1522

Mailing address

4100 Upton Ave No.
Minneapolis, MN 55412

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XL045270-0 (MN)
Adult Medicine Physician 207QA0505XL045270-0 (MN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1790921732

Susan Queen Djavedan I's National Provider Identifier is 1790921732, issued on Dec 22, 2008. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 22, 2008.