MS. SUSAN K DUDDING CNP NPI 1659434744

NPI Information

  • NPI: 1659434744
  • Provider Name: MS. SUSAN K DUDDING, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 11800 STATE AVE
    BRAINERD, MN
    ZIP 56401
  • Phone: (218) 828-2787

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NPI Details

MS. Susan K Dudding, CNP is a family nurse practitioner in Brainerd, MN. MS. Susan K Dudding, CNP NPI is 1659434744. 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:

11800 STATE AVE
BRAINERD, MN
ZIP 56401-308
Phone: (218) 828-2787
Fax: (218) 828-6082

The enumeration date for this NPI number is 12/19/2006 and was last updated on 7/9/2007.

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
1363LF0000XNurse PractitionerFamily0086125MINNESOTAYes

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
15000001471MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAFNP
2P20489MEDICARE UPINMINNESOTA

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: 3/30/2025

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