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NPI Code Detail

MEDICARE: SUZANNE M CLAPP CRNA

MEDICARE: SUZANNE M CLAPP 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 Anesthetist088796IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144202581
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE M CLAPP CRNA
Provider Business Mailing Address
First Line : PO BOX 310117
Second Line :
City : DES MOINES
State : IA
Zip : 50331-0001
Country : US
Telephone Number : 800-303-7642
Fax Number :
Provider Business Practice Location Address
First Line : 802 KENYON RD
Second Line :
City : FORT DODGE
State : IA
Zip : 50501-5740
Country : US
Telephone Number : 515-573-3101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 09/26/2007

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