Individual
MRS. SUSAN JANE HANDKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
319 SERGEANT SQUARE DR, SERGEANT BLUFF, IA 51054-7729
(712) 943-2500
(712) 943-5696
Mailing address
319 SERGEANT SQUARE DR, SERGEANT BLUFF, IA 51054-7729
(712) 943-2500
(712) 943-5696
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A068082
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0482851
—
IA
01
—
19920
WELLMARK BCBS OF IOWA
—
05
—
6830700
—
SD
01
—
P00353507
MEDICARE RAILROAD
—
Enumeration date
07/29/2005
Last updated
08/10/2015
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