Doctor Name: | MRS. SUSAN ANN FABIAN |
NPI Number: | 1023354750 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN BSN |
License Number: | 80248-30 |
Business Practice Address: | 1050 Division St Mauston, WI - 539481931 |
Business Phone Number: | 6088471845 |
Business Fax Number: | 6088476903 |
Mailing Address: | 1050 Division St, MAUSTON |
State: | WI |
Postal Code: | 539481931 |
Phone Number: | 6088471845 |
Fax Number: | 6088476903 |
NPI Enumeration Date: | 12/28/2012 |
NPI Last Update Date: | 12/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 80248-30 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |