Provider Demographics
NPI:1881714582
Name:JOYCE, SUSAN M (CNS)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:JOYCE
Suffix:
Gender:F
Credentials:CNS
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Mailing Address - Street 1:36500 AURORA DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SUMMIT
Mailing Address - State:WI
Mailing Address - Zip Code:53066-4899
Mailing Address - Country:US
Mailing Address - Phone:262-434-7362
Mailing Address - Fax:262-434-7351
Practice Address - Street 1:2801 W KINNICKINNIC RIVER PKWY
Practice Address - Street 2:SUITE 440
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-3669
Practice Address - Country:US
Practice Address - Phone:414-385-2883
Practice Address - Fax:414-385-4436
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2022-01-04
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Provider Licenses
StateLicense IDTaxonomies
WI2596-33364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI36028600Medicaid