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Individual

MS. SUZANNE TRIEGLAFF MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC, NNP, MS, NE-BC

Contact information

Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2752-033
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
041-228474
IL
363LN0005X
Critical Care Neonatal Nurse Practitioner
2725
WI

Other

Enumeration date
08/26/2011
Last updated
03/17/2018
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