Individual provider · Type 1 NPI
Susan Mary Mathison-Young, NURSE PRACTITIONER
Gerontology Nurse Practitioner · Brainerd, MN
NPI number
1841206901
Active
Practice location
11800 State Ave
Brainerd, MN 56401-7308
Fax (218) 855-1183
Mailing address
1509 72nd St SW
Lake Shore, MN 56468-6874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
Other gerontology nurse practitioner providers in Brainerd
About NPI 1841206901
Susan Mary Mathison-Young, NURSE PRACTITIONER's National Provider Identifier is 1841206901, issued on Jul 31, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Brainerd, MN. The record was last updated on Jul 8, 2007.