Individual
SUSAN NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 LAKELAND DR, FLOWOOD, MS 39232
(601) 355-1234
Mailing address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R701157
MS
Other
Enumeration date
10/05/2006
Last updated
07/31/2018
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