Individual
MS. SUSAN M HURLBUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1805 HUCKLEBERRY AVE, OMRO, WI 54963-1851
(920) 685-7280
(920) 303-5630
Mailing address
1805 HUCKLEBERRY AVE, OMRO, WI 54963-1851
(920) 685-7280
(920) 303-5630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1425
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43994400
—
WI
Enumeration date
12/21/2005
Last updated
04/19/2018
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