Mours, Susan G

Mours, Susan G is an individual health care provider with primary practice located at 400 Woodland Prime N74W12501 Leatherwood Court, Menomonee Falls WI 53051-4490. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mours, Susan G can be contacted via phone (414) 777-0811.

Contact Information

Primary practice address
400 Woodland Prime N74W12501 Leatherwood Court Menomonee Falls WI 53051-4490
Phone: (414) 777-0811
Fax: (414) 777-3529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1038 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1038-033 Wisconsin

Profile Details

NPI number 1790732626
LBN Legal business name Mours, Susan G
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Nov 6th, 2019 - about 6 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 1790732626 NPPES
Wisconsin MEDICAID 43894500

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