SUSAN MARIE EGAN MSNFNP-C NPI 1093898645

NPI Information

NPI: 1093898645
Provider Name: SUSAN MARIE EGAN, MSN,FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
201 E MORRISSEY DR
ELKHORN, WI
ZIP 53121
Phone: (262) 741-1900
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Susan Marie Egan, MSN,FNP-C is a family nurse practitioner in Elkhorn, WI. Susan Marie Egan, MSN,FNP-C NPI is 1093898645. 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:

201 E MORRISSEY DR
ELKHORN, WI
ZIP 53121-395
Phone: (262) 741-1900
Fax: (262) 741-1743

The enumeration date for this NPI number is 10/24/2006 and was last updated on 1/3/2017.

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	405	WISCONSIN	Yes
2	363LW0102X	Nurse Practitioner	Women's Health	209-005034	ILLINOIS	No

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
1	71480-0127	MEDICARE ID-TYPE UNSPECIFIED
2	43821700	MEDICAID	WISCONSIN
3	K400350781	MEDICARE PIN	WISCONSIN
4	S49645	MEDICARE UPIN
5	962341	MEDICARE PIN	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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