Individual
MS. ELIZABETH ANNE SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10 BARNES WEST DR, DIV IM MEDICAL ONCOLOGY, MOB #2, SAINT LOUIS, MO 63141-6287
(800) 647-2098
(314) 362-3192
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(800) 647-2098
(314) 362-3192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020009930
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420082429
—
MO
Enumeration date
03/24/2020
Last updated
04/17/2025
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