SUSAN LEE KISSELL RN CNP NPI 1245249259

NPI Information

NPI: 1245249259
Provider Name: SUSAN LEE KISSELL, RN, CNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
401 CARLSON PARKWAY
MINNETONKA, MN
ZIP 55305
Phone: (952) 992-3612
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Susan Lee Kissell, RN, CNP is a gerontology nurse practitioner in Minnetonka, MN. Susan Lee Kissell, RN, CNP NPI is 1245249259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

401 CARLSON PARKWAY
MINNETONKA, MN
ZIP 55305-387
Phone: (952) 992-3612

The enumeration date for this NPI number is 8/7/2006 and was last updated on 9/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	R0665283	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P47205	MEDICARE UPIN	MINNESOTA
2	500002370	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
3	1145878-00	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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