| Ms Suzanne Marie Earl, APRN,BC,FNP | |
| 
					4900 St Hwy. 160, Suite 2, Theodosia, MO 65761-6539  | |
| (417) 273-2300 | |
| (417) 273-2316 | 
| Full Name | Ms Suzanne Marie Earl | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 4900 St Hwy. 160, Theodosia, Missouri | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104845072 | NPI | - | NPPES | 
| 427550306 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 074879 (Missouri) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Suzanne Marie Earl, APRN,BC,FNP Po Box 328, 4900 St. Hwy 160 Suite 2, Theodosia, MO 65761-0328 Ph: (417) 273-2300  | Ms Suzanne Marie Earl, APRN,BC,FNP 4900 St Hwy. 160, Suite 2, Theodosia, MO 65761-6539 Ph: (417) 273-2300  |