Individual
SUSAN ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3066 SW GRANDSTAND CIR, LEES SUMMIT, MO 64081-3866
(913) 215-5008
(816) 447-3960
Mailing address
PO BOX 875743, KANSAS CITY, MO 64187-5743
(913) 215-5008
(816) 447-3960
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
53-77374
KS
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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