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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN LUCY NINHAM

Active Sole Proprietor

SUSAN LUCY NINHAM is a Community Health Worker healthcare provider located in REDLAKE, Minnesota. NPI 1407421738 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · REDLAKE, MN

Registration Details

NPI Number
1407421738
Provider Type
Individual
Gender
Female
NPI Issued
May 20, 2021 (5.2099126831151 yrs)
Last Updated
May 20, 2021
Sole Proprietor
Yes

Practice Information

Address
24760 HOSPITAL DR NW
REDLAKE, MN, 566710249
Browse MN providers · Browse ZIP 56671
Phone
2186790118
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in REDLAKE, MN

Name Credential NPI
AUTUMN LEIGH BEAULIEU 1992547202
MS. CONNIE JEAN NORMAN CHW 1598582090
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.