Farr, Suzanne

Farr, Suzanne is an individual health care provider with primary practice located at 640 Jackson Street , St Paul MN 55101-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Farr, Suzanne can be contacted via phone (651) 254-3456.

Contact Information

Primary practice address
640 Jackson Street St Paul MN 55101-2502
Fax: (651) 254-2502
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R1261042 Minnesota

Profile Details

NPI number 1689643629
LBN Legal business name Farr, Suzanne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 6th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689643629 NPPES
Minnesota MEDICAID 442626600

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