Basic Information
| Provider Information | |||||||||
| NPI: | 1255399291 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SUEHRING | ||||||||
| FirstName: | DAWNE | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | APNP, NNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3237 S 16TH ST | ||||||||
| Address2: | |||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532154526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4146475000 | ||||||||
| FaxNumber: | 4143893035 | ||||||||
| Practice Location | |||||||||
| Address1: | 3237 S 16TH ST | ||||||||
| Address2: | |||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532154526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4146475000 | ||||||||
| FaxNumber: | 4143983035 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2006 | ||||||||
| LastUpdateDate: | 01/30/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | R1590755 | MN | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LN0000X | 83964 | WI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Neonatal |
No ID Information.