Individual
SUSAN MARIE TAYLOR
Active
Individual
SUSAN MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5375388101
KS
363LA2100X
Acute Care Nurse Practitioner
Primary
2011014368
MO
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
Update your record
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