Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | CNP0965 | MN |
N | 363LW0102X | Nurse Practitioner - Women's Health | R1172555 | MN |
NPI | 1013908383 |
---|---|
Provider Name | Jane Marie Suska |
First Address | St Cloud, MN 56303-5000 |
Second Address | St Cloud, MN 56303-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 04/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0702328 | MEDICA HEALTH PLANS (01) | |
1029789 | PREFERRED ONE (01) | |
141210 | U CARE (01) | |
1531298 | ARAZ GROUP AMERICAS PPO (01) | |
55G91SU | BLUE CROSS BLUE SHIELD (01) | |
COMP | CHAMPUS (01) | |
COMP | FIRST HEALTH PLAN (01) | |
COMP | MMSI (01) | |
COMP | ONE HEALTH PLAN GREAT WES (01) | |
HP34917 | HEALTH PARTNERS (01) | |
P49964 | (02) |