Individual
SUSAN F ALBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-5859
(920) 391-6940
(920) 391-4870
Mailing address
3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-5859
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
15363
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39886600
—
WI
Enumeration date
09/22/2006
Last updated
11/10/2009
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