Susan Marie Egan
Nurse Practitioner - Women's Health Nurse Practitioner - Family Medicine
201 E Morrissey Dr
Elkhorn
, Wisconsin 53121-4395
Susan Marie Egan
Nurse Practitioner - Women's Health Nurse Practitioner - Family Medicine
201 E Morrissey Dr
Elkhorn
, Wisconsin 53121-4395
(262) 741-1743
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Susan Marie Egan
- 201 E Morrissey Dr
- Elkhorn, WI
- Zip : 53121-4395
- Fax : (262) 741-1743
- Phone : (262) 741-1900
Second Address
- Susan Marie Egan
- 201 E Morrissey Dr
- Elkhorn, WI
- Zip : 53121-4395
- Fax : (262) 741-1743
- Phone : (262) 741-1900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 405 | WI |
| N | 363LW0102X | Nurse Practitioner - Women's Health | 209-005034 | IL |
National Provider Identifier
| NPI | 1093898645 |
|---|---|
| Provider Name | Susan Marie Egan |
| First Address | Elkhorn, WI 53121-4395 |
| Second Address | Elkhorn, WI 53121-4395 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 03/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 43821700 | (05) | WI |
| S49645 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.