Individual
SUSAN D. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3113 E WASHINGTON AVE, MADISON, WI 53704-4330
(608) 242-0220
Mailing address
508 PROSPECT AVE, PORTAGE, WI 53901-2017
(608) 742-1883
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
14260031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14260031
LPN LICENSE NUMBER
WV
05
—
42016400
—
WI
Enumeration date
02/07/2007
Last updated
07/09/2007
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