Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN GROSSE-MACEMON
ActiveSUSAN GROSSE-MACEMON is a Family Nurse Practitioner healthcare provider located in W. ST. PAUL, Minnesota. NPI 1922060169 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · W. ST. PAUL, MN
Registration Details
- NPI Number
- 1922060169
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 4, 2006 (20.177307575677 yrs)
- Last Updated
- May 23, 2019
- License
-
1451 (MN)
Practice Information
- Address
-
153 CESAR CHAVEZ STW. ST. PAUL, MN, 551072226Browse MN providers · Browse ZIP 55107
- Phone
- 6512221816
- Fax
- 6512222226
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
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.