Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan Queen Djavedan I

Individual provider Registered Nurse · NPI 1790921732

Susan Queen Djavedan I is a Registered Nurse in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
Specialties on file
2

Practice location Address checks out

4100 Upton Ave N
Minneapolis, MN 55412-1522
Phone: (702) 506-2305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence L045270-0 (MN)
Adult Medicine Physician Taxonomy 207QA0505X · Licence L045270-0 (MN)

Record details

NPI number1790921732
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2008
Last updated in NPPESDecember 22, 2008

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