Susan L Rettke in Bloomington - Nurse Practitioner
Susan L Rettke - NPI 1811959786
Susan L Rettke is a Nurse Practitioner in Bloomington, Minnesota. Susan L Rettke practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan L Rettke is 1811959786. The last update date is 2008-11-17.
Susan L Rettke's current location address is 8170 33rd Ave S, Bloomington, Minnesota. You can contact this provider via phone number 9528836805 and fax number 9528836117. The mailing address for Susan L Rettke is 8170 33rd Ave S, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan L Rettke |
|---|---|
| Address | 8170 33rd Ave S, Bloomington, Minnesota |
| Phone Number | 9528836805 |
| Fax Number | 9528836117 |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1811959786 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2008-11-17 |
Provider Mailing Address Detail
| Address | 8170 33rd Ave S |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554254516 |
| Phone Number | 9528836805 |
| Fax Number | 9528836117 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 612045 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 179324100 | MN | -- |
Post Comment/ Review Below
What is the Susan L Rettke's unique identification number?
The Susan L Rettke has been assigned the NPI (National Provider Identifier) Number 1811959786 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Susan L Rettke's physical address?
The Susan L Rettke is physically located at 8170 33Rd Ave S, in the city of Bloomington, MN, with the postal code 554254516.
What is Susan L Rettke's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan L Rettke is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did Susan L Rettke receive its 1811959786 assignment from the Centers for Medicare & Medicaid Services?
The Susan L Rettke was assigned its 1811959786 on 2006-04-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Susan L Rettke's details last updated?
The information pertaining to the Susan L Rettke, including its address, specialty, and other details, was most recently updated on 2008-11-17.