Individual
SUANNE VANNATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHNP-BC
Contact information
Practice address
533 PEACE PIPE ROAD, LAC DU FLAMBEAU, WI 54538-0189
(715) 588-1511
(715) 588-3903
Mailing address
PO BOX 189, LAC DU FLAMBEAU, WI 54538-0189
(715) 588-1511
(715) 588-3903
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
145561-30
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5610-33
WI
Other
Enumeration date
12/03/2013
Last updated
08/08/2023
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