Susan B Riek, APNP
Individual provider Active NPI Family Nurse Practitioner · Ripon, WI
NPI 1104120864 · NPPES record last updated Apr 7, 2015
Key facts
- NPI
- 1104120864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4344-33 (WI)
- Practice address
- 835 Parkside St
Ripon, WI 54971-8505 - Phone
- (920) 745-3590
- NPI assigned
- Jan 10, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70606 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ripon Medical Center Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 70606 | WI | |
| Family Nurse Practitioner | 363LF0000X | 4344-33 | WI | Yes |
Addresses
Primary practice location
835 Parkside St
Ripon, WI 54971-8505
Mailing address
420 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 926-8340
Other providers in Ripon, WI
- Praitie Assisted Living Inc.
- Steven Taylor Rasmussen
- Rauch Fanily Dentistry, LLC
- Christopher J Rauch
- Laurie Ann Rechek
- Ripon Copperleaf Al Operations LLC
- Ripon Drug Management Enterprises Inc
- Ripon Drug Management Enterprises Inc
- Ripon Medical Center
- Ripon Medical Center
All providers in Ripon, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.