Individual
SUSAN MARIE EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,FNP-C
Contact information
Practice address
201 E MORRISSEY DR, ELKHORN, WI 53121-4395
(262) 741-1900
(262) 741-1743
Mailing address
201 E MORRISSEY DR, ELKHORN, WI 53121-4395
(262) 741-1900
(262) 741-1743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
405
WI
363LW0102X
Women's Health Nurse Practitioner
209-005034
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43821700
—
WI
Enumeration date
10/24/2006
Last updated
01/03/2017
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