Individual
SUSAN BOEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
(417) 625-2279
Mailing address
100 MERCY WAY, JOPLIN, MO 64804
(417) 781-2727
(417) 625-2279
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
069778
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249250C
—
KS
05
—
100786960B
—
OK
05
—
912750924
—
MO
Enumeration date
03/02/2006
Last updated
04/17/2015
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