Susan M Spears, R.N.

Individual provider Active NPI Home Health Registered Nurse · Clinton, WI

NPI 1124170568 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124170568
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
Practice address
10319 E. County Hwy. X
Clinton, WI 53525
Phone
(608) 676-5317
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
118333 - 030WIMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X WI Yes

Addresses

Primary practice location

10319 E. County Hwy. X
Clinton, WI 53525

Mailing address

10319 E. County Hwy. X
Clinton, WI 53525
Phone (608) 676-5317

Other providers in Clinton, WI

All providers in Clinton, WI · Home Health Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.