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NPI Code Detail

MEDICARE: MRS. SUSAN MARIE JONES CRNA

MEDICARE: MRS. SUSAN MARIE JONES CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist13-075944-041KS
2367500000XCertified Registered Nurse Anesthetist148956MO

General Provider Information

NPI Number : 1558397414
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN MARIE JONES CRNA
Provider Business Mailing Address
First Line : PO BOX 504407
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63150-4407
Country : US
Telephone Number : 816-502-7000
Fax Number :
Provider Business Practice Location Address
First Line : 8935 STATE AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-1645
Country : US
Telephone Number : 913-596-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 08/31/2015

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