MRS. SUSAN M. MCKILLIP FNP-C
NPI 1821152034
Nurse Practitioner - Family in Minnetonka, MN
About Mrs. Susan M. Mckillip Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SUSAN M. MCKILLIP FNP-C (NPI 1821152034) is an individual family provider in Minnetonka, Minnesota, licensed in Arizona (RN067339) and active in the NPI registry since December 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mckillip's NPI number?
The NPI number for Susan Mckillip is 1821152034. It was assigned to this individual provider in the NPPES registry on December 21, 2006.
Where is Susan Mckillip located?
Susan Mckillip practices at 9900 Bren Rd E, Minnetonka, MN 55343. The listed phone number is (866) 799-5886.
What is Susan Mckillip's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Susan Mckillip was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Susan M. Mckillip, FNP-C · NPI 1821152034
Family physician in Minnetonka, Minnesota. Individual provider, active in the CMS NPPES registry since December 21, 2006.
## Identity
- **NPI:** 1821152034 (Entity type: Individual)
- **Enumerated:** December 21, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN067339 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9900 BREN RD E, Minnetonka, MN 55343-9664
- **Phone:** (866) 799-5886
## Record status
- **NPPES last updated:** July 6, 2020
- **Other identifiers:** Medicaid 383703 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1821152034) · Data from the CMS NPPES public registry.