Individual
SARAH NETTESHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8915 W CONNELL AVE, MILWAUKEE, WI 53226-3067
(414) 266-2000
Mailing address
1823 OAKDALE DR, WAUKESHA, WI 53189-7208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22335130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22335130
LICENSE
—
Enumeration date
10/18/2020
Last updated
10/18/2020
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