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Susan Elaine Thaller
Family Nurse Practitioner in Milwaukee, Wisconsin
NPI 1689957755

Susan Elaine Thaller is a Family Nurse Practitioner based in Milwaukee, WI and is specialized in Family. Susan Elaine Thaller practices in Milwaukee, WI. The NPI Number for Susan Elaine Thaller is 1689957755 and holds a License No. 4582-033 (Wisconsin).

The current practice location address for Susan Elaine Thaller is 2025 E Newport Ave, Milwaukee, WI and can be reached out via phone at 414-229-7429.

Location: 2025 E Newport Ave, Milwaukee, WI, 53211-2906
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Provider Profile Details
NPI Number
1689957755
Provider Name
Susan Elaine Thaller
Credential
Provider Entity Type
Individual
Gender
Female
Address
2025 E Newport Ave, Milwaukee, WI, 53211-2906
Phone Number
414-229-7429
Fax Number
Provider Enumeration Date
09/24/2011
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
4582-033 01 WI WI DEPT OF REGULATION AND LICENSING
2011007053 01 AMERICAN NURSE CREDENTIALING CENTER
institution
Provider Business Practice Location Address Details
Address
2025 E Newport Ave
City
State
Zip
53211-2906
Phone Number
414-229-7429
Fax Number
person
Provider Business Mailing Address Details
Address
2025 E Newport Ave
City
State
Zip
53211-2906
Phone Number
414-229-7429
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4582-033 (Wisconsin)
Definition
Definition to come...
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