Active NPIIndividual provider

Susan King, APRN

Nurse Practitioner, Gerontology in Minnetonka, Minnesota

NPI Number1114472123
Practice location
9900 Bren RD E, Minnetonka, MN 55343-9664
Fax
—
Last updated
March 4, 2021

Susan King is a Nurse Practitioner, Gerontology based in Minnetonka, MN. Susan King practices in Minnetonka, MN and has the professional credentials of APRN. The NPI Number for Susan King is 1114472123 and holds a License No. 006690 (CT). The current practice location address for Susan King is 9900 Bren RD E, Minnetonka, MN 55343-9664 and can be reached out via phone at 860-494-5784.

Provider Profile Details

NPI Number
1114472123
Provider Name
Susan King
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
9900 Bren RD E, Minnetonka, MN 55343-9664
Phone Number
860-494-5784
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
August 19, 2016
Last Update Date
March 4, 2021
Certification Date
February 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
9900 Bren RD E
Minnetonka, MN 55343-9664
Zip
55343-9664
Phone Number
860-494-5784
Minnetonka, MN 55343Get directions →

Provider Business Mailing Address Details

Address
341 Rye St
Broad Brook, CT 06016-9563
City
Broad Brook
State
CT
Zip
06016-9563
Phone Number
869-798-7413

License Information

License Number
006690
License State
CT
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan King, APRN?

The NPI number of Susan King, APRN is 1114472123. It was assigned on August 19, 2016 and is currently active in the NPPES registry.

What is the specialty of Susan King, APRN?

Susan King, APRN is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in CT under license number 006690.

Where does Susan King, APRN practice?

The practice location is 9900 Bren RD E, Minnetonka, MN 55343-9664. The office can be reached at 860-494-5784 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114472123 directly on the NPPES registry website.

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