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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN ELIZABETH WILSON, CPM

Active Sole Proprietor

SUSAN ELIZABETH WILSON, CPM is a Midwife healthcare provider located in RUSSELLVILLE, Missouri. NPI 1366716854 is currently active in the NPPES registry. Verify at CMS.

Midwife · RUSSELLVILLE, MO

Registration Details

NPI Number
1366716854
Provider Type
Individual
Gender
Female
NPI Issued
Feb 29, 2012 (14.430709975777 yrs)
Last Updated
Feb 29, 2012
License
09090028 (MO)
Sole Proprietor
Yes

Practice Information

Address
5410 HILL CREST ST
RUSSELLVILLE, MO, 650741213
Browse MO providers · Browse ZIP 65074
Phone
5732306023
Fax
5733785295
Primary Specialty
Midwife
176B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.