Mrs. Susan Becker Leon
Nurse Practitioner - Gerontology
1423 S Big Bend Blvd
Saint Louis
, Missouri 63117-2203
Mrs. Susan Becker Leon
Nurse Practitioner - Gerontology
1423 S Big Bend Blvd
Saint Louis
, Missouri 63117-2203
(314) 608-5877
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Susan Becker Leon
- 7525 Weil Ave
- Saint Louis, MO
- Zip : 63119-3311
- Phone : (314) 608-5877
Second Address
- Mrs. Susan Becker Leon
- 1423 S Big Bend Blvd
- Saint Louis, MO
- Zip : 63117-2203
- Phone : (314) 667-5276
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 105654 | MO |
National Provider Identifier
| NPI | 1053756759 |
|---|---|
| Provider Name | Mrs. Susan Becker Leon |
| First Address | Saint Louis, MO 63119-3311 |
| Second Address | Saint Louis, MO 63117-2203 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2013 |
| Last Update Date | 08/05/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.