| Doctor Name: | MRS. JULIE ANN SUCH |
| NPI Number: | 1083923494 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, CNP |
| License Number: | R164182-4 |
| Business Practice Address: | 3931 Louisiana Ave S Ste E400 Saint Louis Park, MN - 554265000 |
| Business Phone Number: | 9529933230 |
| Business Fax Number: | 9529931748 |
| Mailing Address: | 8170 33rd Ave S, Po Box 1309 Mail Stop 21110q MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554254516 |
| Phone Number: | 9529933230 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2010 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | R164182-4 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |