SUSAN J HUMPHREY CNNP NPI 1790840544

NPI Information

NPI: 1790840544
Provider Name: SUSAN J HUMPHREY, CNNP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
2525 CHICAGO AVENUE SOUTH
CHILDRENS SPECIALTY CLINIC NICU MPLS
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 813-6295
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Susan J Humphrey, CNNP is a neonatal nurse practitioner in Minneapolis, MN. Susan J Humphrey, CNNP NPI is 1790840544. 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:

2525 CHICAGO AVENUE SOUTH
CHILDRENS SPECIALTY CLINIC NICU MPLS
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 813-6295
Fax: (612) 813-6949

The enumeration date for this NPI number is 12/22/2006 and was last updated on 7/8/2007.

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	363LN0000X	Nurse Practitioner	Neonatal	R0878944	MINNESOTA	Yes
2	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	R0878944	MINNESOTA	X

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: 4/28/2024

NPI Synchronization or Removal

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