Provider Demographics
NPI:1801789326
Name:SUAN, CHIMBERLAINE PADAYAO
Entity type:Individual
Prefix:
First Name:CHIMBERLAINE
Middle Name:PADAYAO
Last Name:SUAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHIMBERLAINE
Other - Middle Name:PADAYAO
Other - Last Name:SUAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:1111 CATALPA CIR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-2428
Mailing Address - Country:US
Mailing Address - Phone:715-204-5541
Mailing Address - Fax:
Practice Address - Street 1:1111 CATALPA CIR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-2428
Practice Address - Country:US
Practice Address - Phone:715-204-5541
Practice Address - Fax:715-204-5541
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1108850-30163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care