SUSANNA BERNIER WAHLSTROM FNP
NPI 1912397456
Nurse Practitioner - Family in Marquette, MI

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since February 04, 2015

347 ROCK ST, MARQUETTE, MI 49855(906) 227-9119(906) 228-2469 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 23, 2019, May 10, 2018 (2 updates tracked since 2018).

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About Susanna Bernier Wahlstrom Fnp NPPES

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

SUSANNA BERNIER WAHLSTROM FNP (NPI 1912397456) is an individual family provider in Marquette, Michigan, licensed in Michigan (4704145513 3738661) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1912397456

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSANNA BERNIER WAHLSTROMCredential: FNP

Location Address347 ROCK STMarquette, MI 49855-4783

Mailing Address347 Rock StMarquette, MI 49855-4783 · (906) 227-9119 · Fax (906) 228-2469

Phone(906) 227-9119

Fax(906) 228-2469

Sole ProprietorNo

Enumeration DateFebruary 4, 2015

Last NPPES UpdateJanuary 23, 20192 updates tracked since enumeration

✔ NPI 1912397456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704145513 3738661

347 ROCK ST, Marquette, MI 49855

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Other Names 1

Former Name (1)Susanna Bernier Braman