SUSAN J HALLORAN NP
NPI 1093752230
Nurse Practitioner - Obstetrics & Gynecology in Saint Paul, MN

Active since May 31, 2006
1619 DAYTON AVE, #109, SAINT PAUL, MN 55104(651) 698-0891 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2016, Oct 29, 2016 (2 updates tracked since 2016).

About Susan J Halloran Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN J HALLORAN NP (NPI 1093752230) is an individual obstetrics & gynecology provider in Saint Paul, Minnesota, licensed in Minnesota (R1075937) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1093752230
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameSUSAN J HALLORANCredential: NP
Location Address1619 DAYTON AVE, #109Saint Paul, MN 55104-6206
Mailing Address1619 Dayton Ave, #109Saint Paul, MN 55104-6206 · (651) 698-0891
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateNovember 9, 20162 updates tracked since enumeration
NPI 1093752230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in MN · R1075937
1619 DAYTON AVE, Saint Paul, MN 55104

Other Identifiers 3

Medicare UPINP15647
Medicare ID-Type Unspecified500001399MN
Medicaid337140900MN

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1619 DAYTON AVE, STE 205
SAINT PAUL, MN 55104
Social Worker (Clinical)
1619 DAYTON AVE, STE 112B
SAINT PAUL, MN 55104
Nurse Practitioner (Women's Health)
1619 DAYTON AVE, SUITE 205
SAINT PAUL, MN 55104
Advanced Practice Midwife
1619 DAYTON AVE, SUITE 205
SAINT PAUL, MN 55104
Social Worker (Clinical)
1619 DAYTON AVE, SUITE 110
SAINT PAUL, MN 55104
Nurse Practitioner
1619 DAYTON AVE, SUITE 205
SAINT PAUL, MN 55104
Marriage & Family Therapist
1619 DAYTON AVE, SUITE 303
SAINT PAUL, MN 55104
Psychologist (Clinical)
1619 DAYTON AVE, SUITE 110
SAINT PAUL, MN 55104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Halloran's NPI number?

The NPI number for Susan Halloran is 1093752230. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Susan Halloran located?

Susan Halloran practices at 1619 Dayton Ave #109, Saint Paul, MN 55104. The listed phone number is (651) 698-0891.

What is Susan Halloran's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Susan Halloran was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.