SUSAN ELAINE THALLER NPI 1689957755

NPI Information

NPI: 1689957755
Provider Name: SUSAN ELAINE THALLER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2320 W BURLEIGH ST
MILWAUKEE, WI
ZIP 53206
Phone: (414) 431-9563
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Susan Elaine Thaller is a family nurse practitioner in Milwaukee, WI. Susan Elaine Thaller NPI is 1689957755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2320 W BURLEIGH ST
MILWAUKEE, WI
ZIP 53206-751
Phone: (414) 431-9563

The enumeration date for this NPI number is 9/24/2011 and was last updated on 9/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4582-033	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2011007053	OTHER		AMERICAN NURSE CREDENTIALING CENTER
2	4582-033	OTHER	WISCONSIN	WI DEPT OF REGULATION AND LICENSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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