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General NPI Number Information
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NPI Number | 1982974275
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Entity Type | Individual
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Provider Name | SUSAN GENTHNER FLOYD DNP, CRNP, CPNP-AC
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Gender | Female
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 4855 S MOORLAND RD FL 3
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City | NEW BERLIN
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State | WI
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Zip | 53151-7494
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Country | US
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Telephone | 262-432-7599
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Fax |
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Provider Business Mailing Address
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Address Line | 7237 BRAE CT
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City | GURNEE
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State | IL
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Zip | 60031-4485
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Country | US
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Telephone | 919-604-7067
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 277003538
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 15949-33
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License Number State | WI
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