| 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  |