Individual
MRS. SUZANNE RENEE MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
114 E SOUTH HILLS DR, MARYVILLE, MO 64468-2659
(660) 562-4305
Mailing address
23425 170TH RD, GRANT CITY, MO 64456-8426
(660) 254-3982
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021007988
MO
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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