Individual provider · Type 1 NPI
Susan Grosse-Macemon
Family Nurse Practitioner · West St. Paul, MN
NPI number
1922060169
Active
Practice location
153 Cesar Chavez St
West St. Paul, MN 55107-2226
Fax (651) 222-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1451 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1922060169
Susan Grosse-Macemon's National Provider Identifier is 1922060169, issued on Apr 4, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West St. Paul, MN. The record was last updated on May 23, 2019.