MRS. SUZANA VIDIC FNP-BC
NPI 1871974220
Nurse Practitioner - Family in Saint Louis, MO
Active since June 11, 2015
About Mrs. Suzana Vidic Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SUZANA VIDIC FNP-BC (NPI 1871974220) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2015011481) and active in the NPI registry since June 2015.
NPPES Registry Identity
NPI1871974220
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SUZANA VIDICCredential: FNP-BC
Location Address1 BARNES JEW HOSP PLZSaint Louis, MO 63110-1003
Mailing Address6134 Timberline Place CtSaint Louis, MO 63128-4208 · (314) 606-9677 · Fax (314) 722-3512
Phone(314) 362-9761
Sole ProprietorNo
Enumeration DateJune 11, 2015
✔ NPI 1871974220 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 · 2015011481
1 BARNES JEW HOSP PLZ, Saint Louis, MO 63110
Other Names 1
Former Name (1)Suzana Todorovic
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Adult Health)
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
Registered Nurse (Registered Nurse First Assistant)
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871974220, enumerated as an "individual" on June 11, 2015.
The provider is located at 1 BARNES JEW HOSP PLZ SAINT LOUIS, MO 63110 and the phone number is (314) 362-9761.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
