Provider Demographics
NPI:1255309373
Name:STRAUSS, SUZANNE E (PNP)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:E
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 EDINBROOK PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-3720
Mailing Address - Country:US
Mailing Address - Phone:763-425-1211
Mailing Address - Fax:763-425-6277
Practice Address - Street 1:8500 EDINBROOK PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-3720
Practice Address - Country:US
Practice Address - Phone:763-425-1211
Practice Address - Fax:763-425-6277
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR128225-4363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN583818500Medicaid
H22901Medicare UPIN