Individual
SUSYN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2829
(417) 820-8852
Mailing address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-5511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2007003744
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114267960
—
MO
Enumeration date
02/14/2013
Last updated
06/22/2017
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