Individual
SUSAN M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1418 S MAIN ST STE 1, OTTAWA, KS 66067-3544
(785) 229-3561
(785) 229-3529
Mailing address
1418 S MAIN ST STE 1, OTTAWA, KS 66067-3544
(785) 229-3561
(785) 229-3529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
45833
KS
363LA2100X
Acute Care Nurse Practitioner
Primary
45833
KS
Other
Enumeration date
08/29/2006
Last updated
01/31/2023
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