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MS. SUZANNE MARIE EARL APRN,BC,FNP
NPI 1104845072
Nurse Practitioner - Family in Theodosia, MO

Active since July 19, 2006
4900 ST HWY. 160, SUITE 2, THEODOSIA, MO 65761(417) 273-2300(417) 273-2316 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Suzanne Marie Earl Aprn,bc,fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUZANNE MARIE EARL APRN,BC,FNP (NPI 1104845072) is an individual family provider in Theodosia, Missouri, licensed in Missouri (074879) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1104845072
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SUZANNE MARIE EARLCredential: APRN,BC,FNP
Location Address4900 ST HWY. 160, SUITE 2Theodosia, MO 65761-6539
Mailing AddressPo Box 328, 4900 St. Hwy 160 Suite 2Theodosia, MO 65761-0328 · (417) 273-2300 · Fax (417) 273-2316
Phone(417) 273-2300
Fax(417) 273-2316
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 6, 2013
✔ NPI 1104845072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 074879
4900 ST HWY. 160, Theodosia, MO 65761
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Other Identifiers 1

Medicaid427550306MO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suzanne Earl's NPI number?

The NPI number for Suzanne Earl is 1104845072. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Suzanne Earl located?

Suzanne Earl practices at 4900 St Hwy. 160 Suite 2, Theodosia, MO 65761. The listed phone number is (417) 273-2300.

What is Suzanne Earl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Suzanne Earl was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.