Individual
SARA ANN RAVENSCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10175 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-2655
(800) 561-0861
Mailing address
5408 CENTER LN, WATERFORD, WI 53185-2938
(262) 894-9480
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021162166
WI
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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