Individual
SUSAN M BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4251 FOREST PARK AVE, SAINT LOUIS, MO 63108-2810
(314) 531-7526
(314) 531-3190
Mailing address
4251 FOREST PARK AVE, SAINT LOUIS, MO 63108-2810
(314) 531-7526
(314) 531-3190
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
127042
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420766107
—
MO
Enumeration date
07/05/2007
Last updated
06/27/2011
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