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

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XNone listed

Gerontology Nurse Practitioner: Definition to come...

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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.