SUSAN JOAN STAHL NPI 1245258557

NPI Information

NPI: 1245258557
Provider Name: SUSAN JOAN STAHL
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
400 E 3RD ST
DULUTH, MN
ZIP 55805
Phone: (218) 786-8364
Get Directions

Susan Joan Stahl is a women's health nurse practitioner in Duluth, MN. Susan Joan Stahl NPI is 1245258557. 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:

400 E 3RD ST
DULUTH, MN
ZIP 55805-951
Phone: (218) 786-8364

The enumeration date for this NPI number is 7/17/2006 and was last updated on 6/20/2011.

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	363LW0102X	Nurse Practitioner	Women's Health	R 1012097	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	020742000	MEDICAID	MINNESOTA
2	43865300	MEDICAID	WISCONSIN
3	P13959	MEDICARE UPIN
4	500001365	MEDICARE PIN	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: 4/28/2024

NPI Synchronization or Removal

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