Lookup NPI Numbers from the NPI Registry
NPI Profile for SUSAN R JOHANNSEN in SIOUX FALLS, SD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI Number | 1720080583 |
|
| Status | Active | |
| Credentials | CNP (Certified Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 08/11/2005 | |
| Last updated | 12/29/2015 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUSAN R JOHANNSEN
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SUSAN R JOHANNSEN, CNP