Individual provider · NPI-1

Susan Marie Beidler, PhD MBE CRNP

Nurse Practitioner, Family · Sioux City, IA

NPI number1881692473
StatusActive
Last updated in NPPESAug 3, 2015

Details

NPI
1881692473
Entity type
Individual (NPI-1)
Name
Susan Marie Beidler
Credential
PhD MBE CRNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 8, 2005
Last updated
Aug 3, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyA138274IAYes
363L00000X Nurse PractitionerARNP9197564FL
363LF0000X Nurse Practitioner, FamilyARNP9197564FL
363LP2300X Nurse Practitioner, Primary CareARNP9197564FL
363L00000X Nurse Practitioner110924NE
363LF0000X Nurse Practitioner, FamilyTP000625BPA

Practice location

3303 Rebecca St
Sioux City, IA 51104-2324

Phone 712-279-1793 · Fax 712-279-5299

Mailing address

3303 Rebecca St
Sioux City, IA 51104-2324

Phone 712-279-1793 · Fax 712-279-5299

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