Individual
SARAH JEAN SANFORD-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
1185 CORPORATE CENTER DR, OCONOMOWOC, WI 53066-4887
(262) 928-8400
Mailing address
1185 CORPORATE CENTER DR, OCONOMOWOC, WI 53066-4887
(262) 928-8400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10934-33
WI
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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