Individual
MARIAH LEE SUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
401 W GLYNN DR, PARKSTON, SD 57366-9605
(605) 928-3311
(605) 928-7368
Mailing address
401 W GLYNN DR, PARKSTON, SD 57366-9605
(605) 928-3311
(605) 928-7368
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R048313
SD
363L00000X
Nurse Practitioner
Primary
CP002467
SD
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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