Individual
SUSAN B BUETTNER-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
625 S NEW BALLAS RD, SUITE 2030, SAINT LOUIS, MO 63141-8253
(314) 251-1700
Mailing address
625 S NEW BALLAS RD, SUITE 2030, SAINT LOUIS, MO 63141-8253
(314) 251-1700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A0605268
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669412359
NPI
—
05
—
427223706
—
MO
Enumeration date
06/08/2006
Last updated
11/04/2015
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