Individual provider · Type 1 NPI

Kaitlyn Suppa, CASE MANAGER

Specialist · West Fargo, ND

NPI number 1952880908 Active

Practice location

1520 2nd Ave NW
West Fargo, ND 58078-1161

Call (218) 287-4338 Map

Mailing address

1547 30th Ave S
Moorhead, MN 56560-5149

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Other Technician 247200000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1952880908

Kaitlyn Suppa, CASE MANAGER's National Provider Identifier is 1952880908, issued on Aug 10, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Fargo, ND. The record was last updated on Apr 19, 2023.