Individual
SUSAN G SULSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,MSN,BC,FNP
Contact information
Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 334-4822
(573) 986-5984
Mailing address
1709 FLAD ST, CAPE GIRARDEAU, MO 63701-2267
(573) 335-1966
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
097985
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
649260
HEALTHLINK
—
Enumeration date
03/26/2007
Last updated
07/08/2007
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