Individual
MS. SUSAN M DEEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, APNP
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 234-0936
Mailing address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 234-0936
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1124-33
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
1124-33
WI
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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