Susan M Schaefer, LPN
Licensed Practical Nurse in Elm Grove, WI. Individual provider (NPI-1).
NPI number1003166208
StatusActive
Last updated in NPPESSep 14, 2012
Details
- NPI
- 1003166208
- Entity type
- Individual (NPI-1)
- Name
- Susan M Schaefer
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2012
- Last updated
- Sep 14, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 19011-31 | WI | Yes |
Practice location
13050 W Bluemound Rd#207
Elm Grove, WI 53122-2661
Phone 619-770-0331
Mailing address
13050 W Bluemound Rd#207
Elm Grove, WI 53122-2661
Phone 619-770-0331
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Other Licensed Practical Nurse providers in Elm Grove, WI
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