| NPI | 1023253945 |
|---|---|
| Former Name | SUSAN MARIE JOHNSON-SICKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 2357) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2357) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 2357) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 2357) | |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2024-03-07 |