Individual
MRS. SUZANA VIDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-9761
Mailing address
6134 TIMBERLINE PLACE CT, SAINT LOUIS, MO 63128-4208
(314) 606-9677
(314) 722-3512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015011481
MO
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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