Individual
SUSAN HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
2230 JULIE AVE, SPARTA, WI 54656-8826
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1106168
WI
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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