Provider Demographics
NPI:1316219165
Name:SAVAGE, SUZANNE E (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:E
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:E
Other - Last Name:MAZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2700 CLAY EDWARDS DR STE 400
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3270
Mailing Address - Country:US
Mailing Address - Phone:816-421-4240
Mailing Address - Fax:816-421-5015
Practice Address - Street 1:2700 CLAY EDWARDS DR STE 400
Practice Address - Street 2:
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3270
Practice Address - Country:US
Practice Address - Phone:816-421-4240
Practice Address - Fax:816-421-5015
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO135259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO135259OtherMO LICENSE