Individual
SUSAN K FELTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
305 KEENE ST, SUITE 203, COLUMBIA, MO 65201-6897
(573) 882-8000
(573) 882-6600
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
064596
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172633
BLUE SHIELD/BLUE CHOICE
MO
05
—
425387404
—
MO
01
—
527875
HEALTHLINK
MO
Enumeration date
05/18/2006
Last updated
12/31/2009
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