Individual
SARA K.G. PETRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
999 N 92ND ST, C-350, MILWAUKEE, WI 53226-4875
(414) 266-6943
(414) 266-2926
Mailing address
999 N 92ND ST, PEDIATRIC SPECIAL NEEDS, MILWAUKEE, WI 53226-4875
(414) 266-6943
(414) 266-2926
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
153287
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285942235
—
WI
Enumeration date
09/23/2010
Last updated
02/01/2013
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