Individual provider · Type 1 NPI
Susan D. Roseberg, CNP
Nurse Practitioner · Minneapolis, MN
Practice location
4040 Coon Rapids Blvd NW, Suite 120
Minneapolis, MN 55433-2522
Fax (763) 427-9908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R0829757 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1912940339
Susan D. Roseberg, CNP's National Provider Identifier is 1912940339, issued on Jun 14, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 13, 2026.