Individual provider · Type 1 NPI

Suzanne Derosier

Licensed Practical Nurse · Greenfield, WI

NPI number 1194277160 Active

Practice location

3910 W Bridge
Greenfield, WI 53221

Mailing address

3910 W Bridge St
Greenfield, WI 53221-4538

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X33690-31 (WI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1194277160

Suzanne Derosier's National Provider Identifier is 1194277160, issued on Oct 26, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Greenfield, WI. The record was last updated on Oct 26, 2016.