Individual
SUSAN L GUTHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
201 E MORRISSEY DR, ELKHORN, WI 53121-4395
(262) 741-1900
Mailing address
201 E MORRISSEY DR, ELKHORN, WI 53121-4395
(262) 741-1900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8940
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100085846
—
WI
Enumeration date
12/19/2018
Last updated
11/23/2021
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