| Susan Flannigan, RNCNP | |
|
Fairview Lakes Chisago Clinic, 11725 Stinson Ave, Chisago City, MN 55013-9540 | |
| (651) 257-8499 | |
| Not Available |
| Full Name | Susan Flannigan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | Fairview Lakes Chisago Clinic, Chisago City, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659354793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | R 066120-3 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Flannigan, RNCNP 25323 Pigeon Loft Rd Ne, Stacy, MN 55079-3161 Ph: (651) 462-0231 | Susan Flannigan, RNCNP Fairview Lakes Chisago Clinic, 11725 Stinson Ave, Chisago City, MN 55013-9540 Ph: (651) 257-8499 |
Karla Jean Lind, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 651-674-4570 | |
Mr. Richard John Mastenbrook, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 651-257-8850 Fax: 651-257-8852 | |
Mrs. Gina Sophia Marchio Smith, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29575 Sportsman Dr Ste 6, Chisago City, MN 55013 Phone: 651-257-8850 | |
Kelsey Lynn Mccollum, APRN - CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 855-324-7843 |