Susan Debolt, DNP

Nurse Practitioner · Apple Valley, MN

Individual Active NPI

NPI number 1487405221

Practice location

15350 English Ave
Apple Valley, MN 55124
Phone
(952) 431-8500

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NPI record

NPI
1487405221
Entity type
Individual (Type 1)
Enumeration date
March 29, 2024
Last updated
October 8, 2024
Certified
October 4, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 11602 MN
Family Nurse Practitioner 363LF0000X 35114 TN

Mailing address

8170 33rd Ave S
Ms 21110q
Bloomington, MN 55425-4516

About Dr. Debolt

Susan Debolt, DNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 15350 English Ave, Apple Valley, MN 55124. The NPI number 1487405221 was assigned on March 29, 2024 and the record was last updated on October 8, 2024.

Dr. Debolt lists 2 licenses in the registry: #11602 (MN) for Nurse Practitioner; #35114 (TN) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Susan Debolt, DNP?

The NPI number is 1487405221.

What is the phone number of Dr. Debolt?

The phone number listed for the practice location is (952) 431-8500.

Where is Dr. Debolt located?

15350 English Ave, Apple Valley, MN 55124.

What is the taxonomy code for Dr. Debolt?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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