Individual
SUSAN Y RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1501 UNION AVE, SUITE A, MOBERLY, MO 65270-9469
(660) 263-5556
Mailing address
1501 UNION AVE, SUITE A, MOBERLY, MO 65270-9469
(660) 263-5556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
092880
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215933544
—
MO
Enumeration date
06/22/2005
Last updated
08/31/2020
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