SUSAN R JOHANNSEN

SIOUX FALLS, SD
NPI1720080583
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: SD  CP000110)
Additional Taxonomies363A00000X Physician Assistant
(Licence: SD  0221)
Enumeration Date2005-08-11
Last Update Date2015-12-29
Business Address
SUSAN R JOHANNSEN CNP
1200 S 7TH AVE
SIOUX FALLS, SD 57105-0900
Phone number: 605-336-2140
Mailing Address
SUSAN R JOHANNSEN CNP
PO BOX 86430
SIOUX FALLS, SD 57118-6430
Phone number: 605-322-4900