NPI 1902997919 · live from the CMS NPI Registry
Susan G Hafner, NP
Nurse Practitioner, Pediatrics in Grand Forks, ND. National Provider Identifier 1902997919, active.
NPI record
| NPI | 1902997919 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1000 S Columbia Rd, Grand Forks, ND 58201 |
| Practice phone | 701-780-6000 |
| Mailing address | Po Box 6002, Grand Forks, ND 58206 |
| Enumerated | September 27, 2006 |
| Last updated | October 25, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R15497 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.