MEDICARE: SCOTT NEUSER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	109485	WI
2	363L00000X	Nurse Practitioner	2287	WI
3	363LP2300X	Primary Care Nurse Practitioner	2287	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1801888466	OTHER	WI	DOD

General Provider Information

NPI Number	:	1801888466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT NEUSER NP

Provider Business Mailing Address
First Line	:	225 MEMORIAL DR
Second Line	:
City	:	BERLIN
State	:	WI
Zip	:	54923-1243
Country	:	US
Telephone Number	:	920-361-1313
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 ASH DR.
Second Line	:
City	:	EGLIN AFB
State	:	FL
Zip	:	32542
Country	:	US
Telephone Number	:	850-883-8322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	10/26/2023

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Directions to “ SCOTT NEUSER NP” Practice Location

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