Individual
SUSAN L KATUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC APNP
Contact information
Practice address
525 AIRPORT DR, ONEIDA, WI 54155-9035
(920) 869-2711
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 869-2711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1283-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43832000
—
WI
01
—
990008817
RAILROAD MEDICARE
WI
Enumeration date
10/07/2005
Last updated
06/04/2012
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