IndividualActive
Susan Halloran, NP
NPI 1093752230 · Obstetrics & Gynecology Nurse Practitioner · Saint Paul, MN
Provider details
- NPI number
- 1093752230
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- R1075937 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1619 Dayton Ave
#109
Saint Paul, MN 55104-6206
Phone: (651) 698-0891
Approximate (ZIP-level) locationGet directions
Mailing address
1619 Dayton Ave
Saint Paul, MN 55104-6206
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2016-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.