Individual
MRS. SUSAN JANE WILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1310 LAKE ST, SPIRIT LAKE, IA 51360-1100
(712) 336-6425
(712) 336-6439
Mailing address
2876 235TH STREET, TERRIL, IA 51364
(712) 320-0807
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A058734
IA
Other
Enumeration date
08/31/2006
Last updated
04/05/2013
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