Individual
SUSAN JEANNE NORDHUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,ARNP
Contact information
Practice address
1530 N CHURCH RD, LIBERTY, MO 64068-7129
(816) 781-1696
Mailing address
5501 NW 62ND TER, SUITE 201, KANSAS CITY, MO 64151-2408
(816) 584-8884
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
140573
MO
363LA2200X
Adult Health Nurse Practitioner
53-45989-012
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161860
BCBS KS OUTREACH CLINICS
KS
01
—
1902957616
COMMUNITY HEALTH PLAN
MO
05
—
200536020A
—
KS
05
—
200536020B
—
KS
Enumeration date
01/16/2007
Last updated
02/06/2018
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