Provider Demographics
NPI:1265478242
Name:KLOSTERMAN-FINKE, SUSAN (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:KLOSTERMAN-FINKE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 RAINBOW CT
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3601
Mailing Address - Country:US
Mailing Address - Phone:816-262-0543
Mailing Address - Fax:816-279-3118
Practice Address - Street 1:4301 RAINBOW CT
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3601
Practice Address - Country:US
Practice Address - Phone:816-262-0543
Practice Address - Fax:816-279-3118
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI153940-030367500000X
MO136848367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43389500Medicaid
WI43389500Medicaid
MOP00663600Medicare PIN