Gardner, Susan Marie
Gardner, Susan Marie is an individual health care provider with primary practice located at 1801 E Langsford Rd , Lees Summit MO 64063-6323. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Gardner, Susan Marie can be contacted via phone (816) 524-2590.Contact Information
Primary practice address
1801 E Langsford Rd
Lees Summit MO 64063-6323
Phone: (816) 524-2590
Fax: (816) 524-7079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 46050 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 154843 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 46050 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 154843 | Missouri |
Profile Details
| NPI number | 1841498441 |
|---|---|
| LBN Legal business name | Gardner, Susan Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Jun 20th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841498441 | NPPES |
| Missouri | Other | 154843 | MO NURSING LICENSE |
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