Individual
SUSAN AISTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
713 W 11TH ST, LARNED, KS 67550-2055
(620) 804-6007
Mailing address
713 W 11TH ST, LARNED, KS 67550-2055
(620) 804-6007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
76785
KS
Other
Enumeration date
06/15/2015
Last updated
10/27/2020
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