SUSAN EILEEN FESSLER APRN FNP-BC NPI 1104454057

NPI Information

NPI: 1104454057
Provider Name: SUSAN EILEEN FESSLER, APRN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MB PROFESSIONAL BILLING SERVICES, LLC

PECOS Registration: Yes

Address:
675 OLD BALLAS RD STE 100
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 733-9009
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Susan Eileen Fessler, APRN, FNP-BC is a family nurse practitioner in Saint Louis, MO with 5 years of experience. Susan Eileen Fessler, APRN, FNP-BC NPI is 1104454057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

675 OLD BALLAS RD STE 100
SAINT LOUIS, MO
ZIP 63141-083
Phone: (314) 733-9009

The NPI 1104454057 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2020 and was last updated on 10/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2020004949	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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