Djavedan, Susan Queen

Djavedan, Susan Queen is an individual health care provider with primary practice located at 4100 Upton Ave N , Minneapolis MN 55412-1522. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Adult Medicine. Nursing Service Providers / Registered Nurse is her primary health care specialty. Djavedan, Susan Queen can be contacted via phone (702) 506-2305.

Contact Information

Primary practice address
4100 Upton Ave N Minneapolis MN 55412-1522
Phone: (702) 506-2305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X L045270-0 Minnesota
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X L045270-0 Minnesota

Profile Details

NPI number 1790921732
LBN Legal business name Djavedan, Susan Queen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2008
Last updated Dec 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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