Individual
SUE XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
464 CARDINAL LN, HOWARD, WI 54313-9569
(920) 434-3880
(920) 434-3882
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(920) 434-3880
(920) 434-3882
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9067
WI
363LF0000X
Family Nurse Practitioner
9067-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092654
—
WI
Enumeration date
04/28/2019
Last updated
11/24/2021
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