SUSAN MARIE BEIDLER PHD MBE CRNP NPI 1881692473

NPI Information

NPI: 1881692473
Provider Name: SUSAN MARIE BEIDLER, PHD MBE CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3303 REBECCA ST
SIOUX CITY, IA
ZIP 51104
Phone: (712) 279-1793
Get Directions

Susan Marie Beidler, PHD MBE CRNP is a family nurse practitioner in Sioux City, IA. Susan Marie Beidler, PHD MBE CRNP NPI is 1881692473. 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:

3303 REBECCA ST
SIOUX CITY, IA
ZIP 51104-324
Phone: (712) 279-1793
Fax: (712) 279-5299

The enumeration date for this NPI number is 7/8/2005 and was last updated on 8/3/2015.

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	363L00000X	Nurse Practitioner		ARNP9197564	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	ARNP9197564	FLORIDA	No
3	363LP2300X	Nurse Practitioner	Primary Care	ARNP9197564	FLORIDA	No
4	363LF0000X	Nurse Practitioner	Family	TP000625B	PENNSYLVANIA	No
5	363L00000X	Nurse Practitioner		110924	NEBRASKA	No
6	363LF0000X	Nurse Practitioner	Family	A138274	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0015048890003	MEDICAID	PENNSYLVANIA

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: 4/28/2024

NPI Synchronization or Removal

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