SUSAN ROOT

LEES SUMMIT, MO
NPI1437684560
Former NameSUSAN ROOT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: KS  53-77374)
Enumeration Date2017-04-26
Last Update Date2017-04-26
Business Address
-- SUSAN ROOT
3066 SW GRANDSTAND CIR
LEES SUMMIT, MO 64081-3866
Phone number: 913-215-5008
Mailing Address
-- SUSAN ROOT
PO BOX 875743
KANSAS CITY, MO 64187-5743
Phone number: 913-215-5008