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Contact Information

SUSAN M BEIDLER, PHD MBE CRNP
3303 REBECCA ST
SIOUX CITY, IA51104-2324
 Phone: 712-279-1793
 Fax: 712-279-5299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUSAN M BEIDLER · (Female)

NPI # 1881692473
Status Active
Credentials PHD MBE CRNP
Entity Individual
Enumeration date 07/08/2005
Last updated 08/03/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ARNP9197564
  • IA License # A138274
  • NE License # 110924
  • PA License # TP000625B
  • PA Medicaid 0015048890003
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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