Susan D. Brown in Portage - Licensed Practical Nurse
Susan D. Brown - NPI 1316087679
Susan D. Brown is a Licensed Practical Nurse in Portage, Wisconsin. Susan D. Brown practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Susan D. Brown is 1316087679. The last update date is 2007-07-09.
Susan D. Brown's current location address is 508 Prospect Ave, Portage, Wisconsin. You can contact this provider via phone number 6087421883. The mailing address for Susan D. Brown is 508 Prospect Ave, Portage, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan D. Brown |
|---|---|
| Address | 508 Prospect Ave, Portage, Wisconsin |
| Phone Number | 6087421883 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1316087679 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 508 Prospect Ave |
|---|---|
| City | Portage |
| State | Wisconsin (WI) |
| Post Code | 539012017 |
| Phone Number | 6087421883 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 14260031 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14260031 | WV | LPN LICENSE NUMBER | |
| 42016400 | WI | -- |
Post Comment/ Review Below
What is the Susan D. Brown's unique identification number?
The Susan D. Brown has been assigned the NPI (National Provider Identifier) Number 1316087679 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Susan D. Brown's physical address?
The Susan D. Brown is physically located at 508 Prospect Ave, in the city of Portage, WI, with the postal code 539012017.
What is the Susan D. Brown's area of specialization and corresponding taxonomy classification?
The Susan D. Brown's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.
When did Susan D. Brown receive its 1316087679 assignment?
The Susan D. Brown was assigned its 1316087679 on 2007-02-07, which is the date when this unique identifier was issued to the organization.
When was the information related to Susan D. Brown most recently updated or refreshed?
The details pertaining to the Susan D. Brown, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.