Individual
HAN CHUAN SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 UNION AVE, MOBERLY, MO 65270-9469
(660) 263-4770
(660) 263-2228
Mailing address
1207 BRYAN CIR, CARLSBAD, NM 88220-4608
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2025053499
MO
363LF0000X
Family Nurse Practitioner
Primary
54471
NM
Other
Enumeration date
11/07/2025
Last updated
04/09/2026
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