Individual
SUZAN BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2617 BURRIS RD, MARYVILLE, MO 64468-3607
(660) 562-7546
Mailing address
1419 VILLAGE DR, SAINT JOSEPH, MO 64506-2459
(816) 364-1507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021025432
MO
363LF0000X
Family Nurse Practitioner
A165242
IA
Other
Enumeration date
08/29/2021
Last updated
02/10/2025
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