Individual
SUSAN JEANETTE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC, APNP
Contact information
Practice address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 283-7354
Mailing address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 283-7354
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
129862-30
WI
363L00000X
Nurse Practitioner
Primary
8683
WI
363LW0102X
Women's Health Nurse Practitioner
8683-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679572788
—
WI
Enumeration date
08/01/2018
Last updated
09/14/2022
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