Individual
SUSAN MARIE PARTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 E OLIN AVE, MADISON, WI 53713-1434
(608) 807-1428
Mailing address
210 E OLIN AVE, MADISON, WI 53713-1434
(608) 807-1428
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
126173
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1267173
DSPS
WI
Enumeration date
05/19/2018
Last updated
05/19/2018
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