Provider Demographics
NPI:1508073354
Name:CHAPIN-DONALSON, SUZANNE (BSN)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:CHAPIN-DONALSON
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1424
Mailing Address - Country:US
Mailing Address - Phone:608-280-2610
Mailing Address - Fax:608-280-2704
Practice Address - Street 1:25 KESSEL CT
Practice Address - Street 2:SUITE 105
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-6227
Practice Address - Country:US
Practice Address - Phone:608-280-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI119179163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health