Individual
SUSAN M TELLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 735-4755
(314) 237-4133
Mailing address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 735-4755
(314) 237-4133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012027797
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012027797
MO STATE BOARD OF NURSING
MO
Enumeration date
10/09/2012
Last updated
01/27/2026
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