SUSAN FLANNIGAN RNCNP NPI 1659354793

NPI Information

NPI: 1659354793
Provider Name: SUSAN FLANNIGAN, RNCNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
FAIRVIEW LAKES CHISAGO CLINIC
11725 STINSON AVE
CHISAGO CITY, MN
ZIP 55013
Phone: (651) 257-8499
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Susan Flannigan, RNCNP is an adult health nurse practitioner in Chisago City, MN. Susan Flannigan, RNCNP NPI is 1659354793. 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:

FAIRVIEW LAKES CHISAGO CLINIC
11725 STINSON AVE
CHISAGO CITY, MN
ZIP 55013-540
Phone: (651) 257-8499

The NPI 1659354793 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/22/2005 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	363LA2200X	Nurse Practitioner	Adult Health	R 066120-3	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	Other Provider Identifier Issuer
1	573694	MEDICARE UPIN	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: 5/5/2024

NPI Synchronization or Removal

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