Individual provider · NPI-1

Dr. Susan A Brown, PhD, APNP

Clinical Nurse Specialist, Psych/Mental Health, Adult · Madison, WI

NPI number1407990815

StatusActive

Last updated in NPPESOct 15, 2011

Details

NPI: 1407990815
Entity type: Individual (NPI-1)
Name: Dr. Susan A Brown
Credential: PhD, APNP
Sex: Female
Sole proprietor: Yes
Enumeration date: Feb 18, 2007
Last updated: Oct 15, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
364SP0809X	Clinical Nurse Specialist, Psych/Mental Health, Adult	796-033	WI	Yes
101YP2500X	Counselor, Professional	613-125	WI
1041C0700X	Social Worker, Clinical	3678-123	WI
163WP0809X	Registered Nurse, Psych/Mental Health, Adult	52325-030	WI

Practice location

402 Gammon Pl Ste 290
Madison, WI 53719-1075

Phone 608-833-9770 · Fax 608-833-1197

Mailing address

402 Gammon Place
Ste 290
Madison, WI 53719-1075

Phone 608-833-9770 · Fax 608-833-1197

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