Individual
SUSAN INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 S HUDSON AVE, AURORA, MO 65605-2362
(417) 678-5176
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2009002852
MO
363LF0000X
Family Nurse Practitioner
Primary
2016022461
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
06/28/2016
Last updated
08/02/2016
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