Individual
SUSAN E MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
3130 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-5951
(618) 997-5266
(833) 431-2272
Mailing address
3130 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-5951
(618) 997-5266
(833) 431-2272
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
131902
MO
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
209-000556
IL
367A00000X
Advanced Practice Midwife
131902
MO
367A00000X
Advanced Practice Midwife
Primary
209-000554
IL
Other
Enumeration date
07/25/2006
Last updated
08/14/2024
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