Oliver, Suzanne M

Oliver, Suzanne M is an sole proprietor health care provider with primary practice located at 401 Carlson Pkwy Mail Route Cp320, Minnetonka MN 55305-5359. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Oliver, Suzanne M can be contacted via phone (952) 992-2000.

Contact Information

Primary practice address
401 Carlson Pkwy Mail Route Cp320 Minnetonka MN 55305-5359
Phone: (952) 992-2000
Fax: (952) 992-3039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 238908-21 Maryland

Profile Details

NPI number 1902894348
LBN Legal business name Oliver, Suzanne M
Credentials RN, CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2005
Last updated Aug 30th, 2011 - about 13 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 1902894348 NPPES
Minnesota MEDICAID 804024900

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