Provider Demographics
NPI:1316049687
Name:NORGAARD, SUSAN R (RN CNP)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:R
Last Name:NORGAARD
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Gender:F
Credentials:RN CNP
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Mailing Address - Street 1:1420 EAST COLLEGE DRIVE
Mailing Address - Street 2:AFFILIATED COMMUNITY MEDICAL CENTERS
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258
Mailing Address - Country:US
Mailing Address - Phone:320-231-5000
Mailing Address - Fax:507-247-5184
Practice Address - Street 1:1420 EAST COLLEGE DRIVE
Practice Address - Street 2:AFFILIATED COMMUNITY MEDICAL CENTERS
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258
Practice Address - Country:US
Practice Address - Phone:320-231-5000
Practice Address - Fax:507-247-5184
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2011-04-11
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Provider Licenses
StateLicense IDTaxonomies
MNR153040-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner