Individual
SUSAN ELAINE MEDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-4649
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-4649
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
677-33
WI
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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