NPI Profile for SUZANNE BLIMLING in MINOCQUA, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1366018558 |
|
| Status | Active | |
| Credentials | AGNP | |
| Entity | Individual | |
| Enumeration date | 05/28/2021 | |
| Last updated | 02/18/2026 - About 4 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUZANNE BLIMLING
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