Individual
SUSAN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1001 BOWLES AVE, FENTON, MO 63026-2338
(866) 825-3227
(484) 351-3800
Mailing address
53 LAIRD AVE, ROLLA, MO 65401-3734
(573) 364-1033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
149761
MO
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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