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Individual

SARA L GRIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2977 COUNTY ROAD CX, PORTAGE, WI 53901-9271
(608) 745-3399
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16345
WI
363LF0000X
Family Nurse Practitioner
71012441A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71012441A
SBON LICENSE
IN
Enumeration date
04/01/2022
Last updated
06/16/2025
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