Anderson, Susan

Anderson, Susan is an individual health care provider with primary practice located at 311 Elm St , Woodruff WI 54568-9149. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Susan can be contacted via phone (715) 356-8540.

Contact Information

Primary practice address
311 Elm St Woodruff WI 54568-9149
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1658-033 Wisconsin

Profile Details

NPI number 1659311264
LBN Legal business name Anderson, Susan
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Dec 21st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659311264 NPPES
Wisconsin MEDICAID 43936700

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