Individual provider · Type 1 NPI
Suzanne Marie Earl, APRN, BC, FNP
Family Nurse Practitioner · Theodosia, MO
NPI number
1104845072
Active
Practice location
4900 St Hwy. 160, Suite 2
Theodosia, MO 65761-6539
Fax (417) 273-2316
Mailing address
PO Box 328, 4900 St. Hwy 160 Suite 2
Theodosia, MO 65761-0328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 074879 (MO) |
Family Nurse Practitioner: Definition to come...
About NPI 1104845072
Suzanne Marie Earl, APRN, BC, FNP's National Provider Identifier is 1104845072, issued on Jul 19, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Theodosia, MO. The record was last updated on Aug 6, 2013.