Provider Demographics
NPI:1740919505
Name:KARMAN, SUSAN M (RN)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:KARMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1061 CHRISTOPHER CT
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-2317
Mailing Address - Country:US
Mailing Address - Phone:414-899-6471
Mailing Address - Fax:
Practice Address - Street 1:1061 CHRISTOPHER CT
Practice Address - Street 2:
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-2317
Practice Address - Country:US
Practice Address - Phone:414-899-6471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI159862163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health