Individual
MRS. SUSAN M NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
17959 MAIN STREET, EMINENCE, MO 65466
(573) 226-5505
(573) 226-5584
Mailing address
PO BOX 157, ELLINGTON, MO 63638-0157
(573) 323-0423
(573) 323-8931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011002322
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366749764
—
MO
01
—
26-8535
MEDICARE - RH
MO
01
—
26D0441751
CLIA
MO
01
—
26D0889777
CLIA
MO
Enumeration date
02/21/2011
Last updated
07/21/2022
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