Individual
MRS. SUSAN ANN WILHELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1125 MARGUERITE ST, MORGAN CITY, LA 70380-1855
(985) 384-2200
(985) 380-4569
Mailing address
16421 DETRAZ RD, ABBEVILLE, LA 70510-8651
(337) 893-4148
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APO4416
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1622079
—
LA
Enumeration date
09/27/2006
Last updated
04/27/2015
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