Greene, Susan Jeanette

Greene, Susan Jeanette is an individual health care provider with primary practice located at 1211 Fish Hatchery Rd , Madison WI 53715-1909. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Greene, Susan Jeanette can be contacted via phone (608) 252-8000.

Contact Information

Primary practice address
1211 Fish Hatchery Rd Madison WI 53715-1909
Phone: (608) 252-8000
Fax: (608) 283-7354
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 129862-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 8683-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8683 Wisconsin

Profile Details

NPI number 1609354679
LBN Legal business name Greene, Susan Jeanette
Credentials WHNP-BC, APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2018
Last updated Sep 14th, 2022 - about 3 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 1609354679 NPPES
Wisconsin MEDICAID 1679572788

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