| Doctor Name: | SUE C WESO |
| NPI Number: | 1053351676 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 98158-030 |
| Business Practice Address: | W3275 Wolf River Road Keshena, WI - 54135 |
| Business Phone Number: | 7157993361 |
| Business Fax Number: | 7157993099 |
| Mailing Address: | Po Box 970, KESHENA |
| State: | WI |
| Postal Code: | 541350970 |
| Phone Number: | 7157993361 |
| Fax Number: | 7157993099 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 06/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 98158-030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |