Individual
DR. SUSAN A BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, APNP
Contact information
Practice address
402 GAMMON PL STE 290, MADISON, WI 53719-1075
(608) 833-9770
(608) 833-1197
Mailing address
402 GAMMON PLACE, STE 290, MADISON, WI 53719-1075
(608) 833-9770
(608) 833-1197
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
613-125
WI
1041C0700X
Clinical Social Worker
3678-123
WI
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
52325-030
WI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
796-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39400900
—
WI
Enumeration date
02/18/2007
Last updated
10/15/2011
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