Brown, Susan A

Brown, Susan A is an sole proprietor health care provider with primary practice located at 402 Gammon Pl Ste 290 , Madison WI 53719-1075. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Brown, Susan A can be contacted via phone (608) 833-9770.

Contact Information

Primary practice address
402 Gammon Pl Ste 290 Madison WI 53719-1075
Phone: (608) 833-9770
Fax: (608) 833-1197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 613-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3678-123 Wisconsin
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 52325-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 796-033 Wisconsin

Profile Details

NPI number 1407990815
LBN Legal business name Brown, Susan A
Credentials PHD, APNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2007
Last updated Oct 15th, 2011 - about 13 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 1407990815 NPPES
Wisconsin MEDICAID 39400900

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