Individual
MS. SUSAN MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11101 W LINCOLN AVE, WEST ALLIS, WI 53227-1133
(414) 327-3000
Mailing address
11101 W LINCOLN AVE, WEST ALLIS, WI 53227-1133
(414) 327-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
199377-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WP0808X
TAXONOMY CODE
WI
Enumeration date
06/29/2014
Last updated
06/29/2014
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