Individual
SUSAN TEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1723 BRAODWAY, SUITE 410, CAPE GIRARDEAU, MO 63701-4556
(573) 339-1957
(573) 339-9709
Mailing address
PO BOX 1329, CAPE GIRARDEAU, MO 63702-1329
(573) 339-1957
(573) 339-9709
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
021454
MO
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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