Individual
SUSAN TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2630 HIGHWAY K # 980-5300, O FALLON, MO 63368-6624
(773) 656-7993
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(636) 980-5300
(636) 980-5344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2025009331
MO
Other
Enumeration date
03/24/2025
Last updated
09/17/2025
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