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Individual

MRS. SUSAN MERIE COLEMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A-GNP-C

Contact information

Practice address
16463 BOONES FERRY RD, LAKE OSWEGO, OR 97035-4259
(541) 748-9634
Mailing address
2976 CHAPEL VALLEY RD APT 101, FITCHBURG, WI 53711-7417
(608) 445-3767

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
234974
WI
363L00000X
Nurse Practitioner
Primary
10005870
OR
363LF0000X
Family Nurse Practitioner
10005870
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
234974
REGISTERED NURSE
WI
Enumeration date
02/23/2023
Last updated
12/31/2025
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