Individual provider · Type 1 NPI

Susan G. Davis, PNP

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1396763876 Active

Practice location

1 Childrens Pl, Div Ped Endocrinology And Diabetes
St. Louis, MO 63110-1002

Call (314) 454-6051 Map

Fax (314) 454-6225

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X078234 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1396763876

Susan G. Davis, PNP's National Provider Identifier is 1396763876, issued on Jul 17, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.