Individual provider · Type 1 NPI
Susan G. Hafner, NP
Pediatric Nurse Practitioner · Grand Forks, ND
NPI number
1902997919
Active
Practice location
1000 S Columbia Rd
Grand Forks, ND 58201-4032
Mailing address
PO Box 6002
Grand Forks, ND 58206-6002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R15497 (ND) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1902997919
Susan G. Hafner, NP's National Provider Identifier is 1902997919, issued on Sep 27, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grand Forks, ND. The record was last updated on Oct 25, 2007.