SUSAN G HAFNER NP
NPI 1902997919
Nurse Practitioner - Pediatrics in Grand Forks, ND

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

Active since September 27, 2006

1000 S COLUMBIA RD, GRAND FORKS, ND 58201(701) 780-6000 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Susan G Hafner Np NPPES

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

SUSAN G HAFNER NP (NPI 1902997919) is an individual pediatrics provider in Grand Forks, North Dakota, licensed in North Dakota (R15497) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1902997919

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSUSAN G HAFNERCredential: NP

Location Address1000 S COLUMBIA RDGrand Forks, ND 58201-4032

Mailing AddressPo Box 6002Grand Forks, ND 58206-6002 · (701) 780-5000

Phone(701) 780-6000

Sole ProprietorNo

Enumeration DateSeptember 27, 2006

Last NPPES UpdateOctober 25, 2007

✔ NPI 1902997919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in ND · R15497

1000 S COLUMBIA RD, Grand Forks, ND 58201

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Other Identifiers 2

Medicare PIN4739ND

Medicare UPINR02175ND

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.

PAMELA A RUSTVANG NP

Nurse Practitioner