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Susan J Halloran, NP
Obstetrics & Gynecology Nurse Practitioner in Saint Paul, Minnesota
NPI 1093752230

Susan J Halloran is a Obstetrics & Gynecology Nurse Practitioner based in Saint Paul, MN and is specialized in Obstetrics & Gynecology. Susan J Halloran practices in Saint Paul, MN and has the professional credentials of NP. The NPI Number for Susan J Halloran is 1093752230 and holds a License No. R1075937 (Minnesota).

The current practice location address for Susan J Halloran is 1619 Dayton Ave, Saint Paul, MN and can be reached out via phone at 651-698-0891.

Location: 1619 Dayton Ave, Saint Paul, MN, 55104-6206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093752230
Provider Name
Susan J Halloran
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1619 Dayton Ave, Saint Paul, MN, 55104-6206
Phone Number
651-698-0891
Fax Number
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
337140900 05 MN
institution
Provider Business Practice Location Address Details
Address
1619 Dayton Ave
City
Saint Paul
State
Minnesota
Zip
55104-6206
Phone Number
651-698-0891
Fax Number
person
Provider Business Mailing Address Details
Address
1619 Dayton Ave
City
Saint Paul
State
Minnesota
Zip
55104-6206
Phone Number
651-698-0891
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
363LX0001X
License No.
R1075937 (Minnesota)
Definition
Definition to come...
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