Healthcare Provider Details

I. General information

NPI: 1336105477
Provider Name (Legal Business Name): SUZANNE STRATHMAN RN, MSN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUZANNE LEEMAN

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 09/01/2020
Certification Date: 09/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 SPRUCE ST
HIGGINSVILLE MO
64037-1537
US

IV. Provider business mailing address

1800 COMMUNITY
CLINTON MO
64735-8804
US

V. Phone/Fax

Practice location:
  • Phone: 888-403-1071
  • Fax:
Mailing address:
  • Phone: 660-885-8131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number098283
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: