Female

Susan King APRN

Gerontology Nurse Practitioner in Minnetonka, MN(View on Map)

Full Name

Susan King APRN

NPI Number

1114472123

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/19/2016

Specialties

(Taxonomies)

Code

363LG0600X

Primary Taxonomy

Yes

Licenses

State

Connecticut

License Number

006690

Contact
Information

Purpose

Mailing
Location

Address

341 RYE ST
9900 BREN RD E

City

Broad Brook
Minnetonka

State

CT
MN

Postal Code

06016-9563
55343-9664

Country

US
US

Telephone Number

(869) 798-7413
(860) 494-5784

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/04/2021

Provider Address

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