Suzanne E. Wang, N.P., C.N.S.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

Practice address

4940 East State Street
Rockford Veterans Administration Out Patient Clinic
Rockford, IL 61109

Phone

(815) 227-0081

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255430062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 CARRIAGE TRAIL ROAD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61109",
            "telephone_number": "815-874-3924",
            "fax_number": "815-387-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EAST STATE STREET",
            "address_2": "ROCKFORD VETERANS ADMINISTRATION OUT PATIENT CLINIC",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61109",
            "telephone_number": "815-227-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SUZANNE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "N.P., C.N.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Walter, ATC
• Andrew Walters
• Kelsey Paige Walton, PHARMD
• Patricia M Waltz, DMD
• Jeannie Wang, MD
• Xu Wang, M.D.
• Fauzia Wani, MD
• Christine B. Ward, MD
• Jennifer A Ward, APN
• Kahseem Edward Ward, LSW

• Women's Health Nurse Practitioner in Rockford, IL
• Providers in Rockford, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.