Individual
SUSANNE M SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
555 E BROADWAY AVE STE 201, JACKSON, WY 83001-8640
(307) 739-7678
(307) 733-9720
Mailing address
PO BOX 14642, JACKSON, WY 83002-4642
(307) 739-7678
(307) 733-9720
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
23749
WY
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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