NPI Profile for SUSAN M BEIDLER in SIOUX CITY, IA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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SUSAN M BEIDLER
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