| Susan King, APRN | |
| 
					9900 Bren Rd E, Minnetonka, MN 55343-9664  | |
| (860) 494-5784 | |
| Not Available | 
| Full Name | Susan King | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Gerontology | 
| Location | 9900 Bren Rd E, Minnetonka, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1114472123 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 006690 (Connecticut) | Primary | 
| Entity Name | Hartford Healthcare Medical Group Specialists Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441  | 
| Entity Name | Proactive Health Care Management Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811641145 PECOS PAC ID: 8022497874 Enrollment ID: O20220624000766  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Susan King, APRN 341 Rye St, Broad Brook, CT 06016-9563 Ph: (869) 798-7413  | Susan King, APRN 9900 Bren Rd E, Minnetonka, MN 55343-9664 Ph: (860) 494-5784  | 
Mavis Osei Yeboah, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 336-549-6221  | |
Alane Renee Hartlage, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 608-286-0556  | |
Dawn M Schaefer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 414-477-9978  | |
Rose M Paz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 Phone: 855-247-8847  | |
Raul Rodriguez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 915-218-8568  | |
Ms. Susanna Monroe, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 Phone: 941-875-5890  | |
Karry Ermita Audain, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 305-432-1249  |