Individual
SARA KOLELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6214
(920) 223-7100
(920) 223-7462
Mailing address
1855 S KOELLER ST, OSHKOSH, WI 54902-6214
(920) 223-7100
(920) 223-7462
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3296
WI
363LA2200X
Adult Health Nurse Practitioner
3296
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36054300
—
WI
Enumeration date
11/27/2007
Last updated
12/28/2016
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