Beidler, Susan Marie
Beidler, Susan Marie is an sole proprietor health care provider with primary practice located at 3303 Rebecca St , Sioux City IA 51104-2324. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Beidler, Susan Marie can be contacted via phone (712) 279-1793.Contact Information
Primary practice address
3303 Rebecca St
Sioux City IA 51104-2324
Phone: (712) 279-1793
Fax: (712) 279-5299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9197564 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9197564 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | ARNP9197564 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 110924 | Nebraska |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | TP000625B | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A138274 | Iowa |
Profile Details
| NPI number | 1881692473 |
|---|---|
| LBN Legal business name | Beidler, Susan Marie |
| Credentials | PHD MBE CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Aug 3rd, 2015 - 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 | 1881692473 | NPPES |
| Pennsylvania | MEDICAID | 0015048890003 |
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