Individual
SUZANNE L DUPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
229 S MORRISON ST, APPLETON, WI 54911-5725
(920) 832-2783
(920) 832-2797
Mailing address
229 S MORRISON ST, APPLETON, WI 54911-5725
(920) 832-2783
(920) 832-2797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
109248-30
WI
363L00000X
Nurse Practitioner
Primary
6359-33
WI
Other
Enumeration date
05/20/2014
Last updated
02/09/2016
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