Individual
SUSAN MARIE BEIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD MBE CRNP
Contact information
Practice address
3303 REBECCA ST, SIOUX CITY, IA 51104-2324
(712) 279-1793
(712) 279-5299
Mailing address
3303 REBECCA ST, SIOUX CITY, IA 51104-2324
(712) 279-1793
(712) 279-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
110924
NE
363L00000X
Nurse Practitioner
ARNP9197564
FL
363LF0000X
Family Nurse Practitioner
Primary
A138274
IA
363LF0000X
Family Nurse Practitioner
ARNP9197564
FL
363LF0000X
Family Nurse Practitioner
TP000625B
PA
363LP2300X
Primary Care Nurse Practitioner
ARNP9197564
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015048890003
—
PA
Enumeration date
07/08/2005
Last updated
08/03/2015
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